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is surgery required for disk bulges

A 41-year-old member asked:
Dr. Heidi Fowler
24 years experience Psychiatry
Personal consult: An in-person evaluation would be needed to provide you with information about what treatment option is best for you.

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A 50-year-old member asked:
Dr. Tracy Berg
31 years experience General Surgery
Physical therapy: Okay to ask your doc why she was not a surgery candidate. Okay to ask for physical therapy, it can be helpful. Be well and good luck.
A 43-year-old member asked:
Dr. Robert Wallach
20 years experience Physical Medicine and Rehabilitation
There are risks: There are significant risks associated with back surgery such as nerve damage, infection, bleeding, need for more surgery. The anesthesia also has ri ... Read More
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A 52-year-old member asked:
Dr. Clarence Grim
56 years experience Endocrinology
Surgery for discs: Get the surgery.
A 49-year-old member asked:
Dr. Bennett Machanic
51 years experience Neurology
Rapid progression: When pain becomes unmanageable, and there is progressive loss of strength and sensation, and a risk to bladder function occurs, there is little hesita ... Read More
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A 38-year-old female asked:
Dr. Boris Aronzon
23 years experience Anesthesiology
Depends: If there is neurologic deficit or severe pain surgery could be considered. This you need to decide together with a surgeon. There are no straight answ ... Read More
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A 50-year-old member asked:
Dr. Luis Villaplana
34 years experience Internal Medicine
No: Meds, injections, physical therapy, weight loss if needed are all part of your treatment.
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A 51-year-old member asked:
Dr. Michael Sawyer
35 years experience General Surgery
Yes: The natural history of most hernias is that they enlarge and if currently asymptomatic, most eventually develop symptoms. Femoral hernias have a great ... Read More
A 52-year-old member asked:
Dr. Greg Khounganian
17 years experience Orthopedic Spine Surgery
Like a fusion: A cervical disc arthroplasty (disc replacement) is approached the same way a cervical fusion is done. Which is through a small incision in the front ... Read More
A 32-year-old female asked:
Dr. Seth Black
43 years experience Oral and Maxillofacial Surgery
Reduction of inflamm: By reducing inflammation pain hopefully will resolve. Then splint therapy to unload joint and protect cartilage and articular surfaces. If this does ... Read More
A 53-year-old member asked:
Dr. John Rimmer
38 years experience General Surgery
Yes: Femoral hernias can be associated with incarceration or trapping a loop of intestine which can get short of blood and cause ischemia or death of the b ... Read More
A 53-year-old member asked:
Dr. Thomas Dowling
39 years experience Orthopedic Spine Surgery
When it is probably: Going to get better with non operative treatment. Ideally, you want to have at least 12 weeks of nonop care as 90% of herniated discs get better. Fo ... Read More
A 38-year-old male asked:
Dr. David Sherer
36 years experience Anesthesiology
Mostly yes: To regain full function, surgery is the definitive choice.
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A 84-year-old female asked:
Dr. Blake Miller
12 years experience Orthopedic Surgery
Decompression: The disc in between the vertebrae have the consistency of a jelly donut. The contents can herniate through the outer border and compress the nerves of ... Read More
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A 54-year-old member asked:
Dr. Douglas Linville II
29 years experience Orthopedic Spine Surgery
Not very: Spine surgery for ddd alone, is rarely indicated. Now, if your ddd is associated with spinal stenosis, pinched nerves, scoliosis, spondylolisthesis, t ... Read More
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A 46-year-old member asked:
Dr. Bennett Machanic
51 years experience Neurology
Not always: Surgery is best reserved for patients not responding to pain management on occasion, but is best supported when there is progressive spinal cord compr ... Read More
A 54-year-old member asked:
Dr. Larry Armstrong
26 years experience Neurosurgery
Maybe, maybe not: If physical therapy is required after your surgery, slow stretching and strengthening exercises will be employed. Nothing too strenuous will be used. ... Read More
A 52-year-old member asked:
Dr. Edward Hellman
28 years experience Orthopedic Surgery
Very : For the properly selected patient, surgery for a disc herniation is 90-95 percent successful. Selecting the proper candidate is critical, and also mo ... Read More
A 33-year-old male asked:
Dr. David Earle
30 years experience General Surgery
Variety : There are a variety of things that can be done depending on the diagnosis. Minimally invasive refers to making smaller incisions, sometimes working wi ... Read More
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A 38-year-old member asked:
Dr. Chukwuka Okafor
15 years experience Orthopedic Spine Surgery
Last Resort: Yes, surgery is recommended after you fail conservative non-surgical treatments -- including nsaids, pt, epidural injections. If you continue to have ... Read More
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A 47-year-old member asked:
Dr. Jonathan Hyde
28 years experience Orthopedic Spine Surgery
No: Most patients with spondylosis respond to conservative management, such as physical therapy, medications, and home exercise programs. In appropriate p ... Read More
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18 thanks
A 42-year-old member asked:
Dr. Mehul Desai
18 years experience Pain Management
Depends: A lot depends on your symptoms but in general surgery for mid-back pain is only moderately successful. In fact most studies demonstrate mixed results.
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5 thanks
A 55-year-old member asked:
Dr. Hooman Melamed
21 years experience Orthopedic Spine Surgery
Yes: Microdiscectomy which is removal of the herniated disc is a very rewarding procedure typically w/ excellent results on a patient who has failed conser ... Read More
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10 thanks
A 30-year-old male asked:
Dr. Douglas Linville II
29 years experience Orthopedic Spine Surgery
HNP Surgery: Rfa is a nonsurgical treatment for facet pain. This is not for sciatica from a herniated disc. Surgical treatment is microdiskectomy which involves re ... Read More
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