Doctor insights on:
Exercises After Herniated Disc Surgery
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
How long, how much?: Nerve dysfunction including numbness, weakness and pain may not resolve immediately after surgery. This depends on factors such as age, length of time nerve pressure was unrelieved pre-op, severity of compression, co-morbities (your pre-existing health issues) length of time from surgery--it may take months to improve. Warning new symptoms post-op always require re-evaluation. ...Read more
Most often no: Herniated disc's can often be symptom free. And quite often pain from a herniated disc will resolve with time: conservative treatment is the first line: rest/nsaids/activity modifications and if not improving may consider an epidural steroid (albeit this may be effective in less than 50% of people). Surgery is reserved for failure of extensive conservative management. ...Read more
Indications: If you have a herniated disc pushing on a nerve with legs symptoms, and you have failed nsaids, pt, epidural injections, with symptoms continuing greater than 6-12 weeks, then surgery may be recommended to remove portion of the disc outside of the disc space, and by so doing remove the structure pushing on the nerve. Various minimally invasive approaches are available for this type of surgery. ...Read more
Common surgery: A lumbar microdiscectomy is a common procedure for treatment of a symptomatic herniated disc that has failed conservative care. Most patients do well. Check out Spine-health. Com. ...Read more
Usually not long: If you had a disc herniation and subsequently underwent spinal surgery for leg pain, then that pain should resolve immediately after the surgery. You may have some minor tingling and minor discomfort, however the true sciatic type pain should resolved relatively quickly after a lumbar discectomy. ...Read more
Nonoperative care: Many herniations can be treated with therapy and time with eventual resolution of pain ...Read more
Refractory symptoms: Herniated disk surgery should only be considered in the presence of all 3: a)mri evidence of a herniation that is visibly pinching a nerve b)symptoms of a pinched nerve that anatomically corresponds well with MRI evidence c)meds, pt, and epidural injections are first considered. A good predictor of successful surgical outcome is increased nerve pain with nerve tension on exam (straight leg raise). ...Read more
If you are not. ..: If you are not getting better after 12 weeks of care & the symptoms are such that you cannot or will not live with them & your leg pain is worse than your back pain, if you even have any back pain, ; & your exam reveals findings consistent with a disc herniation & it is demonstrated on an imaging study compressing the appropriate nerve & you are healthy enough for surgery, then you have reason! ...Read more
Yes/No: Surgery will remove the disc so it will not heal normally but can result in reduction in pain and resolving any lasting nerve damage due to the disc herniation. Healing on its own will take time and may keep the integrity of the disc intact which may be the best at keeping the disc as normal as possible. Healing on its own can take up to 6-9 months or longer. ...Read more
Would you prefer surgery or non-invasive methods for correcting a herniated disc - if you were diagnosed with it?
No: Thr surgery is effective for arm or leg pain only if you have no pain or weakness you can only lose comfort with a back induction I'm puzzled why did you get a MRI for no symptoms if it's was for back pain then the MRI funding is spurious and should be considered not a symptom causer we should be getting studies without symptoms unless it is a screening test for early a symptomatic disease. ...Read more
I have 2 bulging disc and 2 herniated disc and shots did not help and I want to know what to try next or go ahead with surgery?
Bulging discs: Herniated and bulging discs are basically arthritis of the spine. In the low back, the most common course of treatment is nonoperative. If cortisone shots are not working, physical therapy, chiropractic care, back bracing, traction and neuropathic pain medicine such as Neurontin (gabapentin) may help reduce the pain. If these fail or there is significant weakness then surgery is indicated. See the neurosurgeon ...Read more
Do you all accept United Healthcare Insurance? . I need a second opinion regarding my diagnose of having a herniated disc and needing surgery.
Cervical spine: The herniated dick is in the cercical spine. Your surgeon has to determine the evidence that the pain comes from the hernietaion, correlation between symptoms and findings and the electromyogram. If there are criteria for surgery and the pain is related to the disk that is suspected. Surgery should help. ...Read more
I have a herniated disc on my upper shoulder blade. Is surgery really going to fix it permanently?
See below: There are no "discs" in your shoulder blade. A degenerative joint or disc in the neck can refer pain to the shoulder blade. A pinched nerve in your neck or upper back can also cause pain near the shoulder blade. There are many non-surgical options to consider before surgery including medication, physical therapy, and injections. Discuss these options with your md. ...Read more
Neurosurgeon: Also fellowship trained ortho spine surgeon.Get a more detailed answer ›
Do you think I should have surgery for my L4 L5 herniated disc that is causing debilitating pain?
Definitely: Discectomy is very successful for the treatment of sciatic pain (shooting pain in leg past the knee) caused by disk herniation. Failure of nonsurgical management or persistent/severe pain even in the short-term are some reasons to proceed. Studies show that although long-term outcomes are similar, surgery resolves pain much more quickly than nonsurgical allowing quicker return to function. ...Read more
Is there a type of surgery that can be done for bulging herniated disc and tore disc? Also could one of these be causing LOTS of SEVERE pain??
Spine specialist: The two most common surgeries are decompression and discectomy. However, back surgery might be an option if conservative treatments failed and your pain is persistent, debilitating and disabling. Ask a spine specialist about potential complications and best combination of treatment options. ...Read more
Are U asking if U:
Can have such surgery having no neuro symptoms at all, or are u asking if u can have this surgery with no risks of getting any neuro problems from the surgery.
Best person to provide you with these answers would be your surgeon, who has determined that you need surgery.
Good luck. ...Read more
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