What the PLDD Method IsPercutaneous Laser Disc Decompression
The PLDD method is a treatment that lowers increased pressure in the intervertebral discs that is the cause of herniated discs. PLDD is a treatment with a long history that began in the 1980s, and in Japan, many patients have undergone this treatment. Still, because it targets only herniated discs, there is a chance that it will not be an appropriate treatment if the intervertebral discs are collapsed or worn down.
At our clinic, even if there has been intervertebral disc damage, PODD (ozone) treatment or DST (Discseel™) treatment can be chosen, depending on the degree of the damage.
How the PLDD (Percutaneous Laser Disc Decompression) Method Is Done
With the patient under local anesthesia, and while using an X-ray fluoroscope, we place a 1.0 mm (paracentesis) needle into the intervertebral disc. After that, we use a semiconductor laser and irradiate the area in proportion to the state of the damage.
- Herniated Discs
Candidates Are People with These Kinds of Problems
Those diagnosed with herniated discs
Those suffering from chronic low back pain caused by herniated discs
Those considering herniated disc surgery but who do not want to undergo it
Those who have undergone herniated disc surgery but not improved (or whose condition has recurred)
Those afraid of herniated disc surgery
Those who do not want to be hospitalized for herniated disc surgery
Those hoping for treatment that doesn’t take such a toll on the body
※We can also treat older people (80 years or above).
The Benefits of PLDD Treatment
Almost No Scar Will Be Left
Since only a small needle is inserted without making an incision, almost no scar will be left.
Outpatient Treatment That Takes Less of a Toll
Treatment takes about 15 minutes, and you will need to rest for about 30 minutes afterwards. You can go home in about 60 minutes.
No Need for Continued Hospital Visits or Rehabilitation
Because no continued hospital visits or rehabilitation is necessary after treatment, it’s easy even for those who come from far away to return to their daily lives and work.
How Treatment Is Done and Treatable Conditions
PLDD treatment is a procedure using local anesthesia. From the back, we pierce the herniated part of the affect intervertebral disc with a needle, pass a laser fiber through a channel in the inserted needle, create a hollow in the nucleus pulposus inside the intervertebral disc by using a laser to cauterize it, and shrink the disc. As a result, reduction of pressure on the nerves is achieved, and pain and numbness are improved.
The PLDD method is effective for herniated discs with especially high internal pressure that have not prolapsed from the ligaments and have mild to moderate herniation. In cases of prolapse or separation, PIDD or DST(Discseel™) will be an effective treatment method.
A hollow is made in the nucleus pulposus inside the intervertebral disc by cauterizing it with a laser.
The protruding intervertebral disc is caused to shrink, and pressure on the nerves is reduced.
Treatment Time and Post-Treatment Issues
- Treatment time
- approx. 15 minutes
You will need to rest for about 30 minutes after treatment, and you will need about 60 minutes until you can go home. Light activity can be done the following day, but you will need to postpone sports or heavy labor for around 7 days.
- About Post-Treatment Issues
- The recurrence rate is said to be equally as high as with conventional surgery. That is because intervertebral disc damage cannot be improved as in DST (Discseel™ treatment).
We are an appointment-only clinic, so before you decide to visit us please call us to make an appointment. For further information or if you have any questions please do not hesitate to contact us.
Remote Image Diagnostic Service
To ensure in that you are a good candidate for treatment at the clinic prior to your visit to Japan, you can forward us a recent MRI for our doctor to review and determine for free. If you are located nearby and you wish to undergo the MRI and X-ray scan at our clinic, you can call us to make an appointment.
Choose Operation Date
If your diagnose confirms that your condition makes you a good candidate for treatment, you can proceed with scheduling the operation date.
Hospitalization is not required, so you will be discharged on the same day of the treatment. Obtaining a Japanese tourist visa will be enough, in case you are required to have one to enter the country. Patients are supposed to take care of their own visas, travel and accommodation arrangements.
Upon arrival to the clinic the patient undergoes MRI and X-ray scan and an examination by the physician in charge, who according to the final diagnose determines the most suitable treatment option, followed by a detailed explanation.
Treatment is conducted under local anesthesia, and it takes about 15-60 minutes, depending on the treatment method and number of treated discs.
After resting for 1~2 hours and receiving a post-operative check by the operating physician, the patient is discharged and free to return home.
We will contact you periodically to monitor your recovery progress. You should also feel free to contact us if you are unsure about anything.
Treatment Costs for the PLDD Method
|Cost of Treatment||308,000 Japanese Yen (JPY)||363,000 Japanese Yen (JPY)||418,000 Japanese Yen (JPY)||473,000 Japanese Yen (JPY)||528,000 Japanese Yen (JPY)|
- ※For those who undergo treatment at our clinic, all costs—for examination and diagnosis and MRI or other tests—are included above.
※After receiving treatment here, if you receive the same treatment again with the next 3 years, the treatment costs will be half the amount.
※All treatment costs are displayed with tax.
※It is possible to pay by credit card (VISA, MasterCard).
5 Types of Outpatient Treatment for Low Back Pain
The DST Method (Discseel™)
An intervertebral disc treatment that began in the United States in the 2010s. Can be suitable for a wide range of conditions, including problems in patients after surgery. It is the only （※2）treatment that can repair and regenerate intervertebral discs.Click here for details.
※2 According to research by Operation Japan (Ltd.)
The PIDD Method (Implant)
An implant intervertebral disc treatment that has been conducted since the 2000s. As with PLDD, results without injury to intervertebral discs can be anticipated. This treatment is suitable for herniated discs only.Click here for details.
Hybrid Laser Treatment
A treatment that combines the benefits of PLDD and PODD. This treatment is suitable for herniated discs only.Click here for details.
The PODD Method (Ozone)
An ozone intervertebral disc treatment that has been conducted mainly in Europe since the 1990s. It can be suitable for a wide range of conditions.Click here for details.
The PLDD Method (Laser)
An outpatient, laser intervertebral disc treatment that has been well known worldwide since the 1980s. This treatment is suitable for herniated discs only.Click here for details.