Doctor insights on:
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
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
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
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
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
Distecmy leg pain go in 3month. Reherniate again and doct suggests exercises. How I will know compres is decreasing before surgry pain gos in 3 months?
Is it possible to reherniate after having a fixed hiatal hernia repaired along with a large hematoma later drained?
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
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
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
Stay in good shape: Stay in good shape, core exercises, bend your knees, use anti-inflammatory medications to minimize pain. There is no medication or supplement one can take to stop or reverse disc degeneration so concentrate on managing your spine with good body mechanics. ...Read more
Herniated disc: A "slipped disc" refers to a disc in the spine which is protruding to some degree. Sometimes a disc protrusion can pinch a nerve, causing radiating pain into an extremity. Many "slipped discs" are minor and are simply a part of the normal aging process which includes wearing out of discs, bone spurs, etc - nothing needs to be done about these normal aging changes if there are no associated symptoms. ...Read more
A disc replacement: Certain individuals with lumbar or cervical disc disease can qualify for a disc replacement. Somewhat similar to hip and knee replacements done today. The purpose of this procedure is to maintain motion at the level with the disc pathology. This helps to prevent further degeneration of the disc that are adjacent to the level operated on in the future. ...Read more
Disc dehydrated: It is mild dehydration of the disc, suggesting damage to the blood supply of the disc and foretelling a decay cycle and aging of the disc. In and of itself, not important to worry about unless associated with severe symptoms, then needs proper consideration and evaluation. ...Read more
It is when the inner: Material or nucleus pulposus moves through outer layer or annulus fibrosis which is thick & tough in most areas with the nucleus gel like at a younger age and dries out as we age to a consistency like crabmeat. As we age, the annulus develops cracks or tears which can expand & allow the nucleus out. The peak incidence for this is between ages30-50. Stepping on a jelly doughnut is an example. ...Read more
Varies: Pain from a herniated disc can be severe with symptoms of pain, numbness, tingling and weakness in the back, buttocks, upper leg and lower leg. On the other end of the spectrum, there can be little or no pain to a herniated disc. Be sure to see your doctor if you are suspicious of a herniated disc. ...Read more
Thorough evaluation: Assuming you are referring to a herniated disc, start with your primary care physician to begin work up, order appropriate studies, and decide if you need a referral to a spine specialist (ortho or neuro spine surgeon). Not every disc herniation needs surgery - usually a last resort. ...Read more
Discs dehydrated: It is dehydration of multiple discs, us ggesting degenerative aging of the spine and discs foretelling a decay cycle and aging of the disc. In and of itself, not important to worry about unless associated with severe symptoms, then needs proper consideration and evaluation. ...Read more
Various treatment: Assuming you have an MRI, start with back stabilization exercises given by physical therapy so it can be documented. Could also benefit from a steroid epidural injection. Use Naproxen twice a day, and have that documented in a chart to establish you have been treated conservatively. If pain persists with the above, get a surgical evaluation. ...Read more
Yes: Disk herniation may cause pain, numbness and weakness limiting activity and work. You may have to reduce the number of hours and stop working all together. Fortunately disk herniations are treated well by endoscopic spine surgery. This minimally invasive procedure is with a small video camera inserted through a pen sized tube. This allows direct visualization and removal of the disk. ...Read more
Not all the time: About 20% of adult population will have a disc herniation on a study & not have symptoms. Sometimes symptoms are minor &no testing is done or if more severe, they are better before any evaluation is done. 90% of symptomatic disc herniations get better with just time independent of any specific treatment. Symptoms range from back or neck pain with/without extremity pain or just arm/leg pain. ...Read more
Might be age: The term is saying that multiple discs (presumably in your back/neck) are dried out and decreased in size. This happens to everyone as you age and the question is whether it is more than normal. ...Read more
Varies: A disc acts as a cushion between two vertebrae in the spinal column. The disc consists of an inner soft part surrounded by tough fibers known as the annulus. If the annulus tears, the soft inner part can herniated out through the tear. It can then cause irritation of a nerve and subsequent pain. Herniations can heal by themselves, but they can also cause severe pain. Many treatment options. ...Read more