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Doctor insights on: Disc Reherniation

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How can people reherniate a disc? Once the disc has herniated and the "jelly" has come out and been absorbed shouldn't that disc be empty??

How can people reherniate a disc? Once the disc has herniated and the "jelly" has come out and been absorbed shouldn't that disc be empty??

The disk isn't empty: The disk has two types of cartilage: a softer inner nucleus pulposus and a fibrous stiffer annulus fibrosis. In a herniated disk, a piece of the disk sticks out of the normal position and may pinch a nerve. This loose piece is annulus and nucleus together: a piece of cartilage like gristle, not jelly. In diskectomy we remove the loose parts, not the entire disk, perhaps 20% of it, as seen on MRI. ...Read more

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I have a reherniation and collapsed disc at the L5-S1 level. In 2006 I had a microdiscect at the same level. Is microdiscect or fusion appropriate now?

I have a reherniation and collapsed disc at the L5-S1 level. In 2006 I had a microdiscect at the same level. Is microdiscect or fusion appropriate now?

It depends: If you only have leg pain, then redo-microdiscectomy is the appropriate surgery. If you have severe back pain worse than leg pain, then fusion is the better surgery for you. The back pain should be in the center and should be associated with movement and use of your back. If you have both that are equal, you can have either but discectomy may leave you with back pain requiring fusion in the future ...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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Had recurrence of herniated disc (L5-S1) & 2nd microdiscectomy on July 2nd. Back & Lt leg SX improved, but now having pains in Lt knee, behind Lt knee & ankle/calf. Could this be due to reherniation?

Had recurrence of herniated disc (L5-S1) & 2nd microdiscectomy on July 2nd. Back & Lt leg SX improved, but now having pains in Lt knee, behind Lt knee & ankle/calf. Could this be due to  reherniation?

Do NOT wait: Am focused on location, and need to make sure this does not involve vein in back of leg, thrombophlebitis, as needs diagnosis and interventional treatment if the answer. Am skeptical that this is pain emanating from re-rupture of a disc, at least based on your description. See a doctor ASAP and at least get a venous NIVA screen. ...Read more

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1 month post op(microdiscectomy),which daily activities are dangerous to do,can doing phisical therapy cause reherniation...so scared?

1 month post op(microdiscectomy),which daily activities are dangerous to do,can doing phisical therapy cause reherniation...so scared?

Avoid heavy lifting: After this type of surgery you want to follow the directions of your surgeon. You should avoid heavy lifting and jumping or doing any activity that can cause a large increase in pressure on your back. Physical therapists are trained to help with pain and to assist with recovery. They will be very careful not to cause harm. Just follow their directions for home activities. ...Read more

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Is reherniation after lumbar laminectomy with discectomy possible?

Is reherniation after lumbar laminectomy with discectomy possible?

No: If there was a complete diskectomy, there is nothing left to herniated, but if the surgeon just shaved the disk, then re-herniation can occur. ...Read more

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What is degentive disc?

What is degentive disc?

Back pain: Degenerative disk disease is a breakdown of the spongy disks that separate the bone disks that make up your spine. Basically think of them as jelly donuts. Over time the 'jelly' and starts to bulge and can put pressure on the nerve roots as they exit the spinal column. This pain can be positional due bending forward/backward/sideways which can cause the bulge to change. ...Read more

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What makes disc herniate?

What makes disc herniate?

Hard to say: Not completely certain but various factors may play a role. Typically as you age your disc loses water content and is more brittle and susceptible to herniation. Twisting and bending can put pressure on the disc and cause this issue as the inner portion of the disc pushes into the outer portion or even through the whole thing. ...Read more