{"id":1788,"date":"2024-01-05T11:39:44","date_gmt":"2024-01-05T11:39:44","guid":{"rendered":"https:\/\/quizzical-hoover.92-205-185-44.plesk.page\/?page_id=1788"},"modified":"2025-08-14T08:52:32","modified_gmt":"2025-08-14T08:52:32","slug":"pldd","status":"publish","type":"page","link":"https:\/\/radimed.de\/en\/produkte\/pldd\/","title":{"rendered":"PLDD"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"1788\" class=\"elementor elementor-1788\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ea9e39a e-flex e-con-boxed e-con e-parent\" data-id=\"ea9e39a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;waves&quot;,&quot;shape_divider_bottom_negative&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" 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class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Percutaneous Laser Disk Decompression <\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43bfc795 elementor-widget elementor-widget-heading\" data-id=\"43bfc795\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">PLDD<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d576f84 e-flex e-con-boxed e-con e-parent\" data-id=\"d576f84\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-015f3c2 elementor-widget elementor-widget-heading\" data-id=\"015f3c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Successful therapy with Radimed laser fibers and the 980nm diode laser<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-016bb18 e-flex e-con-boxed e-con e-parent\" data-id=\"016bb18\" data-element_type=\"container\" data-e-type=\"container\" id=\"dental_about\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-919ba60 e-con-full e-flex e-con e-child\" data-id=\"919ba60\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1a82773 elementor-widget elementor-widget-text-editor\" data-id=\"1a82773\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div><div><p>When correctly indicated, PLDD is a modern, minimally invasive procedure for the treatment of non-sequestered disc herniations in the cervical and lumbar spine after unsuccessful conservative therapy.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p><b>Principle of action<\/b><\/p><p>The pain therapeutic effect of intradiscal laser therapy is based on the following aspects:<br \/>Denervation of pain receptors within the annulus fibrosus resulting from neovascularization in degenerative and inflamed intervertebral discs.<\/p><p><strong>Further effects:<\/strong><\/p><ul><li>Shrinking, i.e. shrinkage of all intervertebral disc parts due to heat<\/li><li>Solidification in the motion segment through laser-stimulated non-specific scar tissue formation through collagen structure changes<\/li><li>Effect on inflammatory mediators intradiscal, pre- and postganglionic<\/li><\/ul><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-41d4346 e-con-full e-flex e-con e-child\" data-id=\"41d4346\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c5736c6 elementor-widget elementor-widget-image\" data-id=\"c5736c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Radimed2010_0031-1.jpg\" data-elementor-open-lightbox=\"yes\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTg0MiwidXJsIjoiaHR0cHM6XC9cL3JhZGltZWQuZGVcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjRcLzAxXC9SYWRpbWVkMjAxMF8wMDMxLTEuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1500\" height=\"2241\" src=\"https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Radimed2010_0031-1.jpg\" class=\"attachment-full size-full wp-image-1842\" alt=\"\" srcset=\"https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Radimed2010_0031-1.jpg 1500w, https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Radimed2010_0031-1-201x300.jpg 201w, https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Radimed2010_0031-1-685x1024.jpg 685w, https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Radimed2010_0031-1-768x1147.jpg 768w, https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Radimed2010_0031-1-1028x1536.jpg 1028w, https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Radimed2010_0031-1-1371x2048.jpg 1371w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9aab990 e-con-full e-flex e-con e-child\" data-id=\"9aab990\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-319653d elementor-widget elementor-widget-text-editor\" data-id=\"319653d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>Examples of indications<\/b><\/p><ul><li>chronic, discogenic vertebral pain syndrome with radicular or pseudoradicular symptoms<\/li><li>Protrusion of an intervertebral disc in the cervical or lumbar spine area<\/li><li>Prolapse of an intervertebral disc in the cervical or lumbar spine without rupture of the annulus fibrosus<\/li><\/ul><p><b>Contraindications<\/b><\/p><ul><li>free disc sequester within the spinal canal<\/li><li>complete rupture of the annulus fibrosus<\/li><li>Criteria for non-discogenic pain<\/li><li>progressive neurological deficits with axonal motor deficits<\/li><li>The products are not intended for use on the central nervous system.<\/li><\/ul><p><b>TRAINING<\/b><\/p><p>Our employees will instruct you on how to handle the products using standard protocols.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c060861 e-flex e-con-boxed e-con e-parent\" data-id=\"c060861\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0831874 e-con-full e-flex e-con e-child\" data-id=\"0831874\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d0da2f5 elementor-widget elementor-widget-text-editor\" data-id=\"d0da2f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>Physical effects<\/b><\/p><p>Laser systems mainly mentioned in the literature in connection with PLDD:<\/p><p>Nd:YAG solid-state laser with 1024nm wavelength \u2013 large penetration depth with strong thermal effects<\/p><p>Ho:YAG solid-state laser with 2100nm wavelength \u2013 very low penetration depth with only local thermal effects<\/p><p>Diode laser (semiconductor laser) with 980nm wavelength as optimal<br \/>Solution between penetration depth and thermal effects<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-535b864 e-con-full e-flex e-con e-child\" data-id=\"535b864\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5a48273 elementor-widget elementor-widget-image\" data-id=\"5a48273\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Diagramm_Waerme.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-description=\"Temperaturverteilung bei der Bestrahlung mit 980nm\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTg0OSwidXJsIjoiaHR0cHM6XC9cL3JhZGltZWQuZGVcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjRcLzAxXC9EaWFncmFtbV9XYWVybWUuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"807\" height=\"945\" src=\"https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Diagramm_Waerme.jpg\" class=\"attachment-large size-large wp-image-1849\" alt=\"\" srcset=\"https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Diagramm_Waerme.jpg 807w, https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Diagramm_Waerme-256x300.jpg 256w, https:\/\/radimed.de\/wp-content\/uploads\/2024\/01\/Diagramm_Waerme-768x899.jpg 768w\" sizes=\"(max-width: 807px) 100vw, 807px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-559a836 e-flex e-con-boxed e-con e-parent\" data-id=\"559a836\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9640803 e-con-full e-flex e-con e-child\" data-id=\"9640803\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ecd96a8 elementor-widget elementor-widget-text-editor\" data-id=\"ecd96a8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 style=\"text-align: center;\"><span style=\"color: #003366;\">Medical devices \u2013 <\/span><br \/><span style=\"color: #003366;\">everything from one source<\/span><\/h3><p>All the components required for PLDD are offered. Access to the intervertebral disc is possible via a 21G or 18G fine needle with a length of 15 cm (20 cm available on request). A fiber optic fixator is offered to fix the laser fiber, which prevents the laser fiber from accidentally slipping within the fine needle.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0c16f67 e-con-full e-flex e-con e-child\" data-id=\"0c16f67\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d6dca8 elementor-widget elementor-widget-text-editor\" data-id=\"4d6dca8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span style=\"color: #003366;\">Many years of experience<\/span><\/h3><p>A continuous development of the procedure since 1986 is demonstrated by a large number of experience reports and studies in the literature and leads to the fact that modern, highly efficient diode laser systems (980 nm) are now increasingly being used in PLDD.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a573494 e-con-full e-flex e-con e-child\" data-id=\"a573494\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fda5f00 elementor-widget elementor-widget-text-editor\" data-id=\"fda5f00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 style=\"text-align: center;\"><span style=\"color: #003366;\"><b>Advantages<\/b><\/span><\/h3><ul><li>minimally invasive percutaneous<br \/>access from 0.8mm<\/li><li>local anesthesia or light analgosedation, thus less painful<\/li><li>can be performed on an outpatient basis<\/li><li>no risk of scarring<\/li><li>short convalescence period with short period of incapacity for work<\/li><li>repetition of therapy possible<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Perkutane Laser Diskus Dekompression PLDD Mit Radimed Laserfasern und dem 980nm Diodenlaser erfolgreich therapieren Bei korrekter Indikationsstellung handelt es sich bei der PLDD um ein modernes, minimalinvasives Verfahren zur Behandlung nicht sequestierter Bandscheibenvorf\u00e4lle an Hals- und Lendenwirbels\u00e4ule nach erfolgloser konservativer Therapie.\u00a0 Wirkprinzip Die schmerztherapeutische Wirkung der intradiskalen Lasertherapie beruht auf folgenden Aspekten:Denervierung von Schmerzrezeptoren innerhalb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1342,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"unboxed","site-sidebar-style":"unboxed","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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