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Doctor insights on: 4mm Lumbar Bulge Surgery

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Likelihood of bulging lumbar discs receding without surgery?

Likelihood of bulging lumbar discs receding without surgery?

Yes: 35 yo female queries permanency of "bulging lumbar disks". In past years were thought to be pathological, but more recent considerations are normal variants. I have seen remit from one MRI to the next. ...Read more

Dr. Andrew Berry
1 Doctor shared a insight

Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more


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How to fix a lumbar bulging disc for a 17 year old? (no surgery)

How to fix a lumbar bulging disc for a 17 year old? (no surgery)

PT steroid injection: Physical therapy can be very helpful, consultation with an orthopedic surgeon would be helpful. Most resolve on their own within a period of weeks. Steroids injections can be done as well. Most treatments start off as conservative. Ibuprofen can help with pain and inflammation. ...Read more

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I have spinal stenosis in both my cervical and lumbar spine, bulging discs, nerve abutment. Do you think surgery is a good option for me?

I have spinal stenosis in both my cervical and lumbar spine, bulging discs, nerve abutment. Do you think surgery is a good option for me?

Not based on this: Female age unknown has age-related spine changes noted on MRI. When MRI first invented "bulging" disks thought to be pain generators. Now, surgeons realize these can be red herrings. Some studies indicate only 10% back pain disorders benefitted by surgery. U.S. leads world in unnecessary back operations. Get second opinion. First try aquatherapy, yoga, massage, acupuncture, biofeedback, & etc. ...Read more

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I had back surgery back in december. A lumbar decompression due to spinal stenosis at l4-l5 level. I also have a bulging disc at the same level that they did a microdisectomy on. I continue to have severe burning pain down my right leg all the way to my

I had back surgery back in december. A lumbar decompression due to spinal stenosis at l4-l5 level. I also have a bulging disc at the same level that they did a microdisectomy on. I continue to have severe burning pain down my right leg all the way to my

Need further workup: May be due to continued nerve entrapment in terms of residual spinal stenosis, a recurrent disc herniation, scar tissue development about the nerve or neuropathic pain related to the nerve not fully recovering from the prior compression &/or related to its manipulation during your surgery or a combination of these. A MRI with contrast is best diagnostic test for this & possibly an emg/ncv test. ...Read more

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I feel I need some type of surgery to correct bulgings lumbar disks pressing on nerve bundle. One doc said just lose weight. I was 30lbs+ at onset.?

I feel I need some type of surgery to correct bulgings lumbar disks pressing on nerve bundle. One doc said just lose weight. I was 30lbs+ at onset.?

Try non-surgical 1st: Most lumbar disc problems respond well to conservative (non-surgical) approaches. Surgery should be a last resort only when other approaches have failed- while often helpful, surgery does not always work & can have serious complications. But "just lose weight" isn't adequate advice! See http://www. Spine-health. Com/conditions/degenerative-disc-disease/lumbar-degenerative-disc-disease-treatments. ...Read more

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Lumbar spine-3herniated discs, impigment nerves, buldging discs, central stenosis and facet arthopathy do I need surgery or just injections?

Lumbar spine-3herniated discs, impigment nerves, buldging discs, central stenosis and facet arthopathy do I need surgery or just injections?

PainManagementPT&: If you had not good response to PT, Pain Maagement including Facet Point Injections or Epidural Injecions than surgery may be the only choice
You have to follow the advice of your Orthopedic/Spine Specialist what is needed in your case ...Read more

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Pcp & chiro agree I should consider surgery for lower back l3-4 bulge l4-5 herniation l5-s1 bulge. I'm scared what do I need to know and consider?

Pcp & chiro agree I should consider surgery for lower back l3-4 bulge l4-5 herniation l5-s1 bulge. I'm scared what do I need to know and consider?

Ask: Ask for an opinion from a reputable neurosurgeon or ortho that does back surgery. Most bulges are treated medically unless there is nerve damage that might become permanent. With time the disk will dehydrate and diminish in size with decrease of symptoms without surgery. ...Read more

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Can you recommend anything other than surgery? I began having lower back pain 6 yrs ago, ended up having 3 injections for fractured facets, arthritic changes and 2 bulging discs. 2 years ago, I had another 3 injections for the same problem. The dr told me

Can you recommend anything other than surgery? I began having lower back pain 6 yrs ago, ended up having 3 injections for fractured facets, arthritic changes and 2 bulging discs. 2 years ago, I had another 3 injections for the same problem. The dr told me

I'm: I'm sorry you're having trouble getting relief of your pain. Based on your description, you have facet mediated pain most likely from facet arthropathy (arthritis). It sounds as though you have exhausted many of the non-operative options available for your problem. Some other options (you may or may not have tried already) include acupuncture, physical therapy, oral medications, and lumbar traction. None of these methods are a "cure-all" but they may give you enough relief to make the situation tolerable and avoid surgery.

If you fail all of these measures and continue to have pain that interferes with your quality of life you might consider surgery. There are some newer techniques that have not stood the test of time (facet joint replacement) but the gold standard is lumbar fusion. It is reliable surgery in the properly indicated patient. You would need to discuss the risks, benefits, and alternatives with your surgeon, but don't expect 100% relief of pain. If you can accept 75% improvement in your pain condition, that would be a reasonable expectation.

Good luck, hope you find relief. ...Read more

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Why am I in extreme amount of pain? Ortho said I'm not bad enough for surgery. Dx: 3 lumbar bulging disc no impingement. Orthopedic surgeon said just to go back to pain management. This condition/complaint has been going on for 3 years now and seems to

Why am I in extreme amount of pain? Ortho said I'm not bad enough for surgery. Dx: 3 lumbar bulging disc no impingement. Orthopedic surgeon said just to go back to pain management. This condition/complaint has been going on for 3 years now and seems to

Specialist: If you have been going to pain management, then you should have had tests, injections, etc for presumptive diagnoses such as disc disease, facet syndromes, etc. If the doctor was not a specialist dealing only with spinal disorders, then I would recommend a second opinion with a spine surgeon (maybe at a university setting if your area does not have such tertiary care surgeons available). ...Read more

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With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

Unsure of question: Most surgeons exhaust non-operative care before recommending surgery. Non-operative care can include medications (anti-infammatory arthritis type medicine or pain medications), physical therapy, activity modification, exercise, bracing, chiropractic care, interventional pain management (injections), or alternative medical approaches. ...Read more

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How effective are lower back surgeries for for bulging disc n are there any side effects. Does it limit u from doing certain things?

How effective are lower back surgeries for for bulging disc n are there any side effects. Does it limit u from doing certain things?

Be careful: Studies have shown a poor correlation between a "bulging disc" and the presence of back pain. Some would consider back surgery only in the presence of definite abnormalities of the neurological exam with leg (and not just back) symptoms. Removal of parts of the disc with fusion can be done but even if successful there can be emerging problems later at the disc sites above/below the current site. ...Read more

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I've had several lumbar surgeries, last one was a fusion. I have several buldging and herniated disks from lumbar to cervical & in pain. What can help?

I've had several lumbar surgeries, last one was a fusion. I have several buldging and herniated disks from lumbar to cervical & in pain. What can help?

Multiple options: Multiple options, usually is needed a combination of the following:
physical therapy
acupuncture
anti inflammatory
muscle relaxants
chronic pain meds form SNRI class, like Cymbalta
chronic pain meds from anti seizure drugs, like Neurontin or Lyrica (pregabalin) ...Read more

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How safe are back surgeries for bulging dics. An whick is safer open back surgery or laser?

How safe are back surgeries for bulging dics. An whick is safer open back surgery or laser?

Safe or Effective: Need to clarify what is meant by safe -- risk of complication, recurrence of herniation, etc. ...Read more

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Might have to have back surgery for bulge disk. Dangerous surgery?

Might have to have back surgery for bulge disk. Dangerous surgery?

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 risks. Fortunately, the risks for bad things happening are very low. You need to have honest discussion with your surgeon about the risks so that you're ok doing an elective procedure, or not. ...Read more

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My doctor told me I had a bulging disc in my back. Will I need surgery?

My doctor told me I had a bulging disc in my back. Will I need surgery?

Not for a disc: Bulge as theses are fairly normal findings on an imaging study and are not sources of the pain. So there is no indication to operate on a disc that is only bulging as its only finding or presentation. ...Read more

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How much does it usually cost for back surgery to for bulging or herniated disk?

How much does it usually cost for back surgery to for bulging or herniated disk?

Back surgery: The cost for back surgery is typically higher in the hospital than in an outpatient surgical center. The cost for fusion surgery such as artificial disc replacement or intervertebral body fusion is much higher than a simple discectomy. If you are a cash paid patient, you should expect the global cost for 1 level lumbar spine surgery is between $20k to $30k. ...Read more

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What do you advise if I'm wondering if you can have arachnoidits from a bulging disk or is it caused from having back surgery?

Back surgery: Arachnoiditis does not usually occur from a bulging disk it can occur from back surgery, particularly if there have been multiple back surgeries ...Read more

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My bf had back surgery because he had a bulging disk (5l) that herniated. We are ttc. Suggestions?

My bf had back surgery because he had a bulging disk (5l) that herniated. We are ttc. Suggestions?

TTC BACK SURGERY: If I understand ttc means trying to conceive, if that's is correct, than back surgery is not going to interfere with you getting pregnant, because of his condition, as long as he can have sex.If ttc foryou mean something else, still have agood time and write back again
good luck. ...Read more

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I had neck surgery in2009 and MRI on back that showed 4 bulging discs could this be what is causing a burning sensation pretty much from neck to my fe?

I had neck surgery in2009 and MRI on back that showed 4 bulging discs could this be what is causing a burning sensation pretty much from neck to my fe?

Possible: Internal scaring after surgery is common, along with disc bulges that may create narrowing around the spine and lead to spinal impingement, I recommend an evaluation by a pain dr, new MRI with a without contrast along with emg/ncs are useful tests to determine the cause of the pain ...Read more

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Have bad back pain laying in bed and some cases the car. Saw doctor. Says no need for back surgery right now. Have bulging discs. Numbness. Help?

Have bad back pain laying in bed and some cases the car. Saw doctor. Says no need for back surgery right now. Have bulging discs. Numbness. Help?

Follow the advice-: -of your treating spine surgeon. Back pain with no radicular pain is not an indication for surgery. Usually an xam and plain images of the spine tell your spine guy a lot. Before surgery is contemplated a CT or MRI are the norm. Even then if a?, studies using dye may be needed or EMG/NCS. Avoid if possible, @ 36 you have many years ahead of you so don't be eager. ...Read more

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I have pain only in my feet. Had MRI of Lumbar shows L5-S1 broad disc buldge and l4-l5. Have had pain for 18+ months. Meds don't help. Surgery?

I have pain only in my feet. Had MRI of Lumbar shows L5-S1 broad disc buldge and l4-l5. Have had pain for 18+ months. Meds don't help. Surgery?

Foot pain.: We should be looking for a source of pain in your distal leg and feet rather than in the spine. You may want to see a specialist in neurology or physiatry or even podiatry. Surgery would only be done to correct an anatomic abnormality that produces symptoms. ...Read more

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Open inguinal hernia surgery 7 days ago. Heard pop in middle of night at sight. Way less pain and bulge in testicle. Is it back?

Open inguinal hernia surgery 7 days ago. Heard pop in middle of night at sight. Way less pain and bulge in testicle. Is it back?

Contact Surgeon: You have an early recurrence. Too much tension on repair, What type of repair did you have??
If you want a virtual consult contact me @ healthtap. Com/dr-hermanhammerstead ...Read more

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Had inguinal hernia repair surgery 5 weeks ago laparoscopically. I feel a slight bulge where the hernia used to be when I lean back/cough. Recurrence?

Had inguinal hernia repair surgery 5 weeks ago laparoscopically. I feel a slight bulge where the hernia used to be when I lean back/cough. Recurrence?

Wait and see: To early to assume recurrence. Wait untl surrounding tissues are completely healed, 4-6 weeks and then if the bulge is still there examination should determine if it is truly a recurrence or just a palpable abdominal wall weakness. ...Read more

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I often wake up with numbness in hands; have elbow pain during the day; was diagnosed with sciatica; have bulging discs in back; obese. Back surgery?

I often wake up with numbness in hands; have elbow pain during the day; was diagnosed with sciatica; have bulging discs in back; obese. Back surgery?

Sciatica: Is an inflammation of the sciatic nerve which runs from the buttock area down and around the leg. Surgery is a last resort. I suggest speaking to your orthopedic physician about oral or injected anti inflammatory medicines. ...Read more

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What is the %ratings on the success on lumbar surgery?

What is the %ratings on the success on lumbar surgery?

50/50: I have asked this very question of my friends who do spinal surgery. If it's done strictly for pain, the success rate is quoted to be about 50%. Compression (nerve) symptoms usually have a higher success rate. Make sure you ask this very question to your spine surgeon, who may be orthopedic or neurologic in training. Good luck. ...Read more