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Doctor insights on: Could A Percutaneous Discectomy Make Your Disk Stronger

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Could a percutaneous discectomy make your disk stronger?

Could a percutaneous discectomy make your disk stronger?

Perc discectomy: Indications for this procedure is a symptomatic disc herniation with appropriate nerve pain advantages include sparing the surronding musculature from surgical trauma the disc has already weakened by the disc injury removing thextruded piece won't strenghthen the injured disc. ...Read more

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Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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Could a percataneous discectomy make your disk stronger?

Discectomy: You do not make a disc stronger in a discectomy, you are actually removing the disc or the part of it that has herniated. ...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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If I request a microdiscectomy as oppose to conservative treatment for a lumbar bulging disc what are the pros and cons?

If I request a microdiscectomy as oppose to conservative treatment for a lumbar bulging disc what are the pros and cons?

Microdiscectomy: There are always inherent risks of surgery (infection, nerve damage, spinal fluid leak, anesthesia risks including heart/lung problems, blood clots, stroke, even death). Although rare, all of these can happen with surgery. Herniated/bulging discs have a good chance of resolving without surgery within 6-8 weeks from onset of symptoms with conservative management ...Read more

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Is an endoscopic percutaneous discectomy to remove herniated np thereby disrupting integrity of disc a good ideafor someone in high impact sports?

May be: If the disc is large enough that you are having weakness and/or constant numbness/pain in your leg(s), a minimally invasive discectomy (microscopic or endoscopic) is typically a good option. Please consult your neurosurgeon. ...Read more

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What is a pain reliever without codeine that would help with a pinched nerve and herniated disc I3?

What is a pain reliever without codeine that would help with a pinched nerve and herniated disc I3?

Many: Codeine is weak compared to many other narcotics.Many combinations exist from short-acting (4-6 hours): pure morphine, percocet, non-narcotic Ultram, demerol, (meperidine hydrochloride) dilaudid, etc. Then there are long-acting narcotics like MScontin and OxyContin.NSAIDs like prescription strength ibuprofen & naproxen may also be good choices.Talk with your dr.Personally, I use glucose in a caudal epidural injection. ...Read more

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Can you explain a percutaneous discectomy?

Can you explain a percutaneous discectomy?

Minimally invasive: Way of removing a disc thru a small skin incision done as an outpatient without general anesthesia using imaging and special tools like doung a joint arthroscopy. ...Read more

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When would a spinal block not be acceptable for a csection? What back problems would make a spinal block not the best choice?

When would a spinal block not be acceptable for a csection? What back problems would make a spinal block not the best choice?

Few: There are actually very few contraindications for using them in a csection. If it is emergent there may not be time, if there is any active infectious process, if the person is on blood thinner, or if the patients vitals are unstable are the main contraindications. The frequency of their use really involves more patient, anesthesia, and surgeon preference. ...Read more

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Had a foraminotomyc6, c7, t1. Dr. Said the disc protusion too hardened to remove.But reroofed to ease pressures.Is a hard disc likely to reherniate?

Had a foraminotomyc6, c7, t1.  Dr. Said the disc protusion too hardened to remove.But reroofed to ease pressures.Is a hard disc likely to  reherniate?

Hardened Disc: A "hardened" (medically referred to dessicated) disc that has been surgically treated is not likely to herniate again as the reason for the hardening is that the innermost part of the disc has become less compressible and would not likely bulge again. However, post surgery, and with continued "wear-and-tear" other arthritic changes can occur where the bones touch and at ligaments. ...Read more

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Is an endoscopic discectomy a good suggestion for people with a herniated disk?

Sometimes: Several surgeons use an endoscope to do the disc removal while many more use a microscope. As long as the surgeon is well trained in the procedure then it is a viable (although less common) option. ...Read more

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“what is 3mm anterolisthesis of C4/C5 and which is better a ACDF or a Cervical Total Disc Arthoplasty? I need to bend pretty far forward for work.

“what is 3mm anterolisthesis of C4/C5 and which is better a ACDF or a Cervical Total Disc Arthoplasty? I need to bend  pretty far forward for work.

It depends.: 3 mm anterolisthesis of C4/5 means that the C4 vertebrae is 3 mm anteriorly positioned to C5 vertebrae which can be a normal variant or could mean instability. If you need to preserve motion in your neck, then the disc arthroplasty is the better surgery. However, you must be sure that the disc space is a good candidate for disc replacement. If there is anterolisthesis, I would recommend ACDF. ...Read more

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Doc wants to remove disk and do fusion, herniated disk L5 s1. What is recovery time and what is there a high chance of pain relief?

Doc wants to remove disk and do fusion, herniated disk L5 s1. What is recovery time and what is there a high chance of pain relief?

Depends on procedure: There r many ways 2 fuse: anterior, posterior, or both. The 1 2 best advise u is ur surgeon. If u have doubts get an answer 2 which procedure is proposed ; why. If still not satisfied getting a second opinion is in order, but get all the details 1st. ...Read more

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Would a spinal tap feel like a nerve root block, facet joint injections or more uncomfortable?

Would a spinal tap feel like a nerve root block, facet joint injections or more uncomfortable?

Discomfort with LP : Depends on lots of things ( mostly technique I have found ) Often patients ask if it will hurt as I am finishing the procedure !! ( they felt absolutely no pain at all ) ...Read more

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Is there a downside to having a disc removed, such as in the instance of a completely herniated disc? Can a herniated disc heal through phys. Therapy?

Is there a downside to having a disc removed, such as in the instance of a completely herniated disc? Can a herniated disc heal through phys. Therapy?

Depends: If u have associated radiculopsthy than disc excision is strongly indicated. If just back pain, then therapy is an option. Disc removal leads to less shock absorption and progressive arthritis at that level. ...Read more

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Going to ER for back injury. Will X-ray show herniated disk? MRIs not done in local ER, unsure if muscle or disk is problem.

Going to ER for back injury.  Will X-ray show herniated disk? MRIs not done in local ER, unsure if muscle or disk is problem.

Not X-rays MRI rec'd: MRIs for the lumbar spine are not usually urgent, thus it would be a good idea for you to see your primary care MD or a spine specialist who can order this. In young people usually back pain is a muscle issue as the discs are only likely to be bulging. The typical treatment is Physical therapy for core strengthening and muscle relaxants or anti-inflammatories as needed for symptomatic relief. ...Read more

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Is a laminectomy or vertebrae fusion or both any good to relieve back pain?

Is a laminectomy or vertebrae fusion or both any good to relieve back pain?

Depends on the pain: Back pain can be caused by many sources: muscles, nerves, discs, joints etc. In the back. If your particular pain is caused by nerve compression as might be seen on an mri, a laminectomy procedure to remove the pressure can greatly relive pain. An epidural injection often helps predict how well a laminectomy might work. Fusion is preferred when there is instability or seve joint or disc problems. ...Read more

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Dr. Scott Tromanhauser
211 doctors shared insights

Discectomy (Definition)

Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more


Dr. M. Hytham Beck
178 doctors shared insights

Diskectomy (Definition)

The term discectomy refers to an excision of all or part of a disc. The disc itself is a cartilage structure that is located between two vertebral bodies. Disectomies are typically performed to improve pain and/or function in a patient that had ...Read more