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Doctor insights on: Diskectomy L4 L5 Operation

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Can you tell me about hemilaminotomy diskectomy (l4-l5) operation?

Can you tell me about hemilaminotomy diskectomy (l4-l5) operation?

Back surgery: A hemilaminotomy involves excision of a portion of the vertebral lamina - think of it as removing 1/2 of your roof - thereby giving you spinal nerves more room. The discectomy involves removing all or a portion of the disk. Hope this helps. ...Read more

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


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What to do if I have a hemilaminotomy diskectomy (l4-l5) operation?

What to do if I have a hemilaminotomy diskectomy (l4-l5) operation?

Rehabilitation: Best to have some post-op physical therapy, and incorporate exercise and stretching. Fitness goals with maintenance of your strength will protect you from future further damage to your lower back. ...Read more

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What is a hemilaminotomy diskectomy (l4-l5) operation? Is it dangerous?

What is a hemilaminotomy diskectomy (l4-l5) operation? Is it dangerous?

Yes: A l4-5 hemilinotomy is the partial removal of the laminar on either the right or left side of the vertebra. All surgeries have potential complications, but in the hands of a spinal surgeon, the chance of problems are decreased. Would recommend that you seek the care of a board certified orthopedic or neurosurgeon spinal surgeon. ...Read more

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Discectomy L4 L5 three months ago. I had almost no leg pain after surgery. Last week severe pain came back down my leg could this be nerve damage?

Discectomy L4 L5 three months ago. I had almost no leg pain after surgery. Last week severe pain came back down my leg could this be nerve damage?

Nerve pain: You need to see your spine surgeon again. It is most likely nerve irritation, that could be treated with an epidural injection and conservative care. But, it could be a re-herniation of your disc. Important to rule-out new neurological changes. Your surgeon might decide to get a new MRI after they perform a physical exam. ...Read more

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23m-rupture discs w/ 5mm retrolisthesis (l4/5&l5/s1) s/p discectomy surgeon doesn't want surgery, 2nd opinion recommended hybrid lumbar fusion. What should I do? Daily pain 6+/10 back & both legs 2yrs

23m-rupture discs w/ 5mm retrolisthesis (l4/5&l5/s1) s/p discectomy surgeon doesn't want surgery, 2nd opinion recommended hybrid lumbar fusion. What should I do? Daily pain 6+/10 back & both legs 2yrs

Be careful: Make sure seeking advice from well-trained spine surgeon. The pathology you mention will not necessarily cause the symptoms you list. Let's say you have herniated discs/lumbar stenosis, nerve impingement, then that will explain your leg pain. And after failing appropriate conservative management decompression surgery will help. But be very careful with surgery for back only pain -- [email protected] 23Y.O. ...Read more

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If I have a L4 L5 discectomy could i return to classes in 1 week? Class length is 3 hours per day on tuesday and thursday and 1.5 hours mwf.

It should be ok if : You can get up or stand periodically for the next few weeks as sitting generates 4times your body weight across the discs of lower back. Get a note from your surgeon. ...Read more

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Dr. Ki-Hon Lin Dr. Lin
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I had a l4-l5 discectomy 5 months ago and still have lots of lower back pain in the mornings mostly, will it ever heal completely?

Dr. Ki-Hon Lin Dr. Lin
4 doctors agreed:
I had a l4-l5 discectomy 5 months ago and still have lots of lower back pain in the mornings mostly, will it ever heal completely?

Talk to your doctor: I counsel my patients that the primary goal of a discectomy is to relieve a pinched nerve, which thereby will relieve pain radiating down the leg. Relief of back pain is not the main goal of a discectomy, although sometimes we get lucky and the back pain does get better. Back pain can be much trickier to treat and surgery is often not the answer for that, so see your surgeon to discuss options. ...Read more

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Is ozone a better treatment than micro discectomy for l4-l5 hernia with sciatica?

Is ozone a better treatment than micro discectomy for l4-l5 hernia with sciatica?

Neither: is first line treatment or standard of care for a herniated disk. Suggest core strengthening exercises first, then maybe consider epidural steroid injections and facet joint treatments if needed. After that surgery can be considered. Only time surgery is first line is if you are having weakness, loss of function of bowel or bladder or extreme pain not resolved with above treatments. ...Read more

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I have done l4-l5 laminectomy and discectomy in dec 2012 .I have my backpain now.How long it take to recover? Its good to do cleaning job?

I have done l4-l5 laminectomy and discectomy in dec 2012 .I have my backpain now.How long it take to recover? Its good to do cleaning job?

Takes some time : Unfortunately only your surgeon knows the specifics of your case. However back pain/incisional pain is common for several weeks after surgery. Did you have improvement of your symptoms after surgery? Was your problem predominantly back or leg pain? Heavy lifting and prolonged bent posture may not be recommended depending on how far from surgery you are. Please ask your surgeon for specifics. ...Read more

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I had lumbar diskectomy laat week l4,l5 and L5 s1. Severe calf spasms no clot, do you have any pain relief suggestions?

I had lumbar diskectomy laat week l4,l5 and L5 s1. Severe calf spasms no clot, do you have any pain relief suggestions?

Microdiscectomy : Residual L5 and S1 nerve root irritation. Add anti-inflammatory medications, neuropathic pain medicine (gabapentin), and muscle relaxers to eliminate the pain. Apply ice to the low back and consider a low profile back brace. The pain should resolve over the next week. If the pain persists then call your surgeon to exclude a recurrent disc herniation. ...Read more

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I had m/discectomy L4 L5 sometimes foot is cold sometimes not is this vascular circulation problem, also had DVT post op now gone ?

I had m/discectomy L4 L5 sometimes foot is cold sometimes not is this vascular circulation problem, also had DVT post op now gone ?

Possibly: It is possible the foot feeling cold is a vascular problem, but also could have other etiologies. It is impossible to give a definite answer without evaluation. Best to make apt with your health care provider. ...Read more

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I have back pain worsened by rest comfortable only by sleeping on stomach with pillow under hips. History of Crohn's and discectomy at L4, L5 . AS?

I have back pain worsened by rest comfortable only by sleeping on stomach with pillow under hips. History of Crohn's and discectomy at L4, L5 .  AS?

Complex situation.: From your description, it is hard to know if your back pain is mechanical in nature or is perhaps related to your Crohn's disease. And yes, ankylosing spondylitis is a potential diagnosis also, although it is more common in men. I feel you should be seen by your doctor. I don't think we can do more than guesss on here without more reliable data. Good luck. ...Read more

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Upper Sore spinal and back pain around L3 or L4 since lumbar discectomy ops for l5.s1 9 wks back.no fever or redness on wound.pain radiates to front ?

Upper Sore spinal and back pain around L3 or L4 since lumbar discectomy ops for l5.s1 9 wks back.no fever or redness on wound.pain radiates to front ?

Spinal surgery: Go back and see the surgeon who operated on you and be reassessed. There are many reasons why this may be going on. ...Read more

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Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces Need operation?

Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces
Need operation?

Prefer no surgery: Sounds like a fairly large disc protrusion, but if no progressive muscle weakness, atrophy or bladder involvement, might be able to get conservative PT, stretching, exercise, acupuncture, and try to allow disc to desiccate and shrink, which it may well do over 8-9 months. Key issue is presence or absence of neurological involvement. Steroids may help. ...Read more

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I have severe back pain from last 2-3 years.Mri shows bulges at l4-l5 and l5-s1.Doctors recommend operation, but i want to avoid operation.Suggest .

I have severe back pain from last 2-3 years.Mri shows bulges at l4-l5 and l5-s1.Doctors recommend operation, but i want to avoid operation.Suggest .

Exercise: Options to surghery are exercise, rest, anti spasm medication. Surgery last resort especailly for "builging discs"! better get another opinion and make sure you had a "discogram" test. ...Read more

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I am 5 years post Discetomy operation for L4 L5. Have pins and needles and partial numb on back of left feet. Which speciliast to consult ? Solutions

I am 5 years post Discetomy operation for L4 L5. Have pins and needles and partial numb on back of left feet.
Which speciliast to consult ? Solutions

See neurologist/EMG: The numbness and paresthesias may or may not be related to pressure on a spinal nerve. There is a possibility it could be a nerve problem more localized to the foot. A good place to start would be to see a neurologist who also does EMG and Nerve Conduction Studies...which may be needed to help diagnose the cause. Hope that helps! ...Read more

Dr. Arthur Balin
179 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