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Doctor insights on: Discectomy

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Dr. Scott Tromanhauser
211 Doctors shared insights

Discectomy (Overview)

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 complete discectomy is performed.


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How is a discectomy done?

How is a discectomy done?

Variety of ways: Several ways but standard in the lower back is a microdisectomy through a small posterior incision leading to the roof or lamina of the spine where a small keyhole opening is created through a natural open area & moving the nerve & nerve sac out of the way to access the piece of disc herniated with special instruments to protect the neural elements while removing disc fragments as an outpatient. ...Read more

Dr. Scott Tromanhauser
211 Doctors shared insights

Discectomy (Overview)

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 complete discectomy is performed.


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Can a discectomy be reversed?

No: You mean put the herniation back? If you have worse pain after procedure followup with surgeon. ...Read more

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Does a micro discectomy bring results?

Does a micro discectomy bring results?

YES!!: Microdiscectomy, whether performed traditionally or thru miss technique performed for the correct diagnosis routinely result in excellent results. For discectomy there is a 90% excellent outcome. Hopefully in the future we will be able to achieve a 100% excellent outcome! ...Read more

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What are the success chances for discectomy?

What are the success chances for discectomy?

High: If the symptoms of pain, weakness and/or numbness can be matched to the abnormalities on mri, and if everything else has failed, then surgery to remove the offending disc can provide significant (>75%) relief of painful symptoms. There is a small chance of recurrence in the future. ...Read more

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Could a micro discectomy bring positive results?

Yes: In the proper scenario, a microdiscectomy can be very helpful. Disc herniations can cause pain, numbness and weakness. If the symptoms have not gone away with conservative modalities, such as anti-inflammatory medications, physical therapy, epidural injections, then surgery is a good option. The procedure takes out the herniated portion through a small incision. ...Read more

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What is the definition or description of: diskectomy?

What is the definition or description of: diskectomy?

Excision: 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 failed no operative care. ...Read more

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What is the definition or description of: discectomy?

Partial disc removal: 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 complete discectomy is performed. ...Read more

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I am having a discectomy on tuesday. What can I expect?

Back soreness: I'm assuming here that you're having a lumbar microdiskectomy.
You will experience some incisional soreness, low back aching and pain which is easily managed with medication. If you are experiencing leg pain and numbness, the pain should be better quickly afterward. Numbness takes longer. Rest is the key. No excessive activity. Ice pak on the back helps. You should improve quickly. Good luck. ...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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What to do if I got discectomy exactly a week ago, should I be feeling better?

What to do if I got discectomy exactly a week ago, should I be feeling better?

You should be better: Discectomy is used for sciatic type pain if in the lumbar region and arm pain in the cervical region. Those pains should be gone by now...surgical pain over incision may still be sore. Usually the radicular pain takes only a few days to show at least some improvement. Call your surgeon, get his or her opinion. ...Read more

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Is it ok to have pain 8 months after a discectomy? What kind of pain and what level is acceptable at this stage?

There is a 5-10% f: Failure rate especially if one is a smoker and if the back pain was more of a component than the leg pain suggesting that a fusion should have been done. In 1-2% of patients, nerve pain can develop related to post op changes. The rate of a recurrent disc herniation is 5%. Some studies suggest when surgery complicated by spinal fluid leak (1%risk) lower success rate as well. ...Read more

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I had a discectomy about three days ago, however the pain appears to be getting progressively worse, is this normal?

I had a discectomy about three days ago, however the pain appears to be getting progressively worse, is this normal?

Not normally: Check to make sure you are not developing an infection by checking your temperature and seeing if the wound site is becoming red, swollen, tender, warm or starting to drain. Also there could be a possibility that your are herniating another disc fragment which occurs in 5% of disc surgery patients and can occur at any time postop as only the portion of the disc herniated is removed at the surgery. ...Read more

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What do you suggest if I had a discectomy around three weeks ago and still have pain, should I be feeling better/different?

What do you suggest if I had a discectomy around three weeks ago and still have pain, should I be feeling better/different?

That depends on: Several factors for lumbar surgery. Smokers have high failure rates. Also, if back pain was predominant symptom over leg pain then higher failure rate. For most patients with predominantly leg symptoms with positive findings on examination that match Imaging studies, this surgery should have a 99-95% success rate. By 3 weeks you should be feeling better so if not improving talk to your surgeon. ...Read more

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What do you recommend if I had a discectomy around three weeks ago and still have pain, should I be feeling better/different?

Follow-up: If you are no better, I would suggest that it is time to see your surgeon for further evaluation. Good luck. ...Read more

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What is the recovery time for a diskectomy? How long does it take to recover from a diskectomy? When can I get back to normal activities and work? .

Recovery: Recovery time depends on the type of discectomy surgery you have, long long you have had the problem and the presence of nerve damage. Patients recover quicker from minimally invasive and endoscopic discectomy then traditional. People who have the problem longer or have nerve damage take longer to recover. Most people recover from surgery between a 2 to 12 weeks.

Please see my health guide on lumbar discectomy. Good luck! ...Read more

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I go to hosp tomorrow to be checked over after my discectomy 2 weeks ago that's left me in more pain on the other side of my body. What can I expect?

I go to hosp tomorrow to be checked over after my discectomy 2 weeks ago that's left me in more pain on the other side of my body. What can I expect?

Dr. Checks healing: The doctor will check the surgery area to see if the healing looks usual for being 2 weeks out from the procedure (and that there's no infection nor excessive inflammation at the site). He'll assess the amount of pain and tenderness present, and make recommendations on the exercises and mobility allowed. Also, he'll look to see why the other side hurts, which could be from muscle, nerve, or both. ...Read more

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What to expect with TMJ discectomy?

Expect problems: Removing the disc in your TMJ is not a good idea and should be avoided if possible. This procedure not only places the joint in a compromised position, but will increase the possibility of arthritis and degenerative changes. I would seek other opinions. You might look up dr. Larry wolford in dallas and get his opinion. I wold not recommend doing this to anyone. ...Read more

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How should I sleep after discectomy?

How should I sleep after discectomy?

However you like: There is no correct position to sleep in after a lumbar microdiscectomy. Whatever position is most comfortable to you. The more important aspect of sleep is how you get in and out of bed. Be sure not to strain or excessively twist your torso. ...Read more

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Is it safe to cycle after a discectomy?

Yes: Yes, exercise is important. Just the timing of when to resume exercise and sports as well as physical activities needs to be guided by your surgeon but by 12 weeks, you should be able to return to all activities. ...Read more

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Why does my back spasm after discectomy?

May be normal: Back spasm may be occurring as your body heals from surgery, especially if it was within the past several months. If you still have a pinched nerve root, or if you have a new disk herniation, these might also cause pain and spasms. Your best bet is to talk to your surgeon. ...Read more

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How should I sleep after a micro discectomy?

Whichever way that: Makes you the most comfortable. However you shouldn't sleep in sitting position. ...Read more

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What is the estimated recovery time for laser discectomy?

What is the estimated recovery time for laser discectomy?

Short: "if " it works ti should be quick...If your symptoms persist see an orthopaedic spine surgeon with a new mri. ...Read more

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What can I do for pain after 2 discectomies and a back fusion?

Back fusion: Firstly make sure with the surgeon that no more surgery is required. Then please go and see a pain specialist, there are many options that hopefully will reduce your pain. It is unlikely that you will have zero pain. ...Read more

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My husband had a discectomy. How long should the post-op pain last?

My husband had a discectomy. How long should the post-op pain last?

Depend: Discectomy is performed to eliminate pain arising from a compressed/irritated nerve root. Unfortunately we have no way of knowing the internal damage to the nerve. Therefore numbness and tingling may persist. When there is no internal nerve damage, the patient may awaken with immediate relief of leg pain. ...Read more

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How long of a recovery time should I expect from discectomy surgery?

Recovery: The less invasive surgery is, the faster the recovery and the less chance of complications. ...Read more

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Can you tell me anything about pain -post diskectomy surgery 2 years ago?

Can you tell me anything about pain -post diskectomy surgery 2 years ago?

Need new ideas: Thirties male 2 years from disk surgery not any better. Disk might have been a "red herring". Up to 30% of people with chronic unilateral low back pain experience pain generation from sacroiliac joints. Find an osteopath who knows how to evaluate via physical examination and fluoroscopic guided diagnostic block of the sacroiliac joint. See boa. Com ; my essays on pain syndrome board at quora. Com. ...Read more

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How long are you numb after a discectomy?

Depends: This is variable. Even though pain relief is achieved after decompressing the nerves by removing disc material, sometimes the nerve takes time to recover, if at all & the recovery could be partial or total from immediately to never. Most are going to get maximum recovery in 6 months but it could occur over years. Less likely if a neuropathy present or if a diabetic. ...Read more

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How painful is a c-spine diskectomy & fusion?

Not bad: Typically, the post-operative pain following an acdf is not bad. You may have some discomfort between the shoulders and a sore throat. Typically, most patients do well. Check out spine-health. Com. ...Read more

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Can you recover from anterior cervical diskectomy?

Can you recover from anterior cervical diskectomy?

YES: Anterior cervical discectomy with or without fusion has a proven success rate of 90-95% for relief of symptoms secondary to a disc herniation and nerve root compression. No surgery should be taken lightly. Possible complications include infection, hoarseness, hematoma formation, paresis/paralysis, failure of fusion, continuing pain, & others. For the correct diagnosis it is an excellent procedure. ...Read more

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How long are you numb for after having a discectomy?

Long: Numbness may take a long time to resolve, if ever. Some people continue to have some residual numbness that never completely goes away. ...Read more

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How successful is a discectomy for a herniated disk?

How successful is a discectomy for a herniated disk?

90-95%: As long as leg pain is predominant or only pain and imaging studies reveal a disc herniation compressing the nerve consistent with your symptoms and exam findings are positive and surgery done after nonop care fails but not waiting too long allowing secondary changes to affect compressed nerve, successful outcome 90-95%. ...Read more

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Can you explain a hemilaminotomy diskectomy operation?

Laminectomy: You need to know certain basic anatomy oy the spine. Vertebraes are form of an anterior body and posteror part called the laminae joint by the spinous process. Laminar are right and left. Hemilaminectomy means that only one side othe laminae are removed (partially)to gain access to the disc space and discectomy means removal of the disc material. ...Read more

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How long will your back hurt after a discectomy in lower back?

Usually just. ..: Usually this is just incisional pain of up to 2 weeks duration. If there was back pain equal to or worse than leg pain pre operatively, then you most likely will not get much improvement of your back pain and all bets are off if you are a smoker. ...Read more

Dr. Qamar Khan
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