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Doctor insights on: How Do They Decide If You Need Surgery For A Herniated Disc

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Dr. Stan Lee Dr. Lee
3 doctors agreed:
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How do they decide if you need surgery for a herniated disc?

Dr. Stan Lee Dr. Lee
3 doctors agreed:
How do they decide if you need surgery for a herniated disc?

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

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How does a doctor determine if you need surgery for L4 L5 disc if you have a tear and disc protrusion?

How does a doctor determine if you need surgery for L4 L5 disc if you have a tear and disc protrusion?

Decades of Training: Your surgeon will first have to ensure that your symptoms are coming from the pathology you mentioned. There are various ways of figuring this out. Surgery is only recommended as last resort after failure of non-surgical treatments including pt, nsaids, epidural injections. Typically surgery is not a good option if you only have back pain, or if the disc is not pushing on a nerve. ...Read more

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How do you determine whether surgery for my herniated disc is necessary?

How do you determine whether surgery for my herniated disc is necessary?

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

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How to tell if you need a spinal fusion?

How to tell if you need a spinal fusion?

IF: You have chronic lower back pain that is related to spinal instability that does not respond to a well directed conservative treatment program, then a fusion may be necessary. Only a spinal surgeon can tell you if a fusion is necessary. Therefore, would recommend that your pcp evaluate you and refer you to the appropriate specialist. ...Read more

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Do you think I should be looking for an orthopedic or neurologist doctor to operate on a herniated disk?

Do you think I should be looking for an orthopedic or neurologist doctor to operate on a herniated disk?

Spine surgery: Either an ortho surgeon or neurosurgeon can operate on the spine. Your choice will depend on the doctor's experience and your comfort level with that person. ...Read more

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What you should do for a bulging disk?

What you should do for a bulging disk?

" bulging disk": Initial treatment for symptomatic bulging disc is conservative (eg physical therapy, non-opioid analgesics, etc.) and also addresses preventative measures. Depending on severity of the symptoms, injections for pain control may be utilized. For more severe cases, surgery may be indicated. The course of treatment is determined by symptoms and objective findings. ...Read more

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How would you know if you have a spinal ruptured disk?

How would you know if you have a spinal ruptured disk?

Symptoms: Typically this issue is accompanied by radiating arm or leg pain possibly weakness or pins and needles. See your doctor, you may need an mri. ...Read more

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How do you do an epidural for a prostate operation?

How do you do an epidural for a prostate operation?

Epidural: Maybe you mean a spinal....Very common for many trans urethral procedures.... ...Read more

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Do you need surgery for incitional hernias?

Do you need surgery for incitional hernias?

Incisional hernia: Incisional hernia requires surgery if they can't be reduced(pushed in) easily, are enlarging, painful or tender. I feel a general surgeon is best to advise and follow the patient, however. ...Read more

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How can you know if you need a knee replacement?

How can you know if you need a knee replacement?

Pain: If you have pain on a daily basis, the pain prevents you from doing things you would ordinarily do. If you have tried or oral anti-inflammatories and injections with cortizone (hydrocortisone) and they have not helped. You should also have x-rays that show advanced degenerative joint disease. ...Read more

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If you are an ophthalmologist, how do you have any qualification to discuss what a chiropractor actual does and how successful they are?

If you are an ophthalmologist, how do you have any qualification to discuss what a chiropractor actual does and how successful they are?

Experience...: A lot of us answer questions "outside our field" based on our personal experiences. Personally, i think chiropractors are successful in treating a number of problems because they have helped me in the past. ...Read more

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What will the doc do for a herniated disc?

What will the doc do for a herniated disc?

Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more

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Can you let me know how many degrees does your spine have to be for a brace if you have scoliosis?

Not at 43: Bracing not effective or used onyour agr group 20 degrees in a growing person dirgery at45 degrees at your age bracing not appropriate at your age. ...Read more

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How do you know when you need repeat surgery for endometriosis?

How do you know when you need repeat surgery for endometriosis?

Varies: When the symptoms are not being controlled with conservative means and the symptoms are interfering with your usual activities. ...Read more

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What happens if I do not get treatment for herniated disk?

What happens if I do not get treatment for herniated disk?

You save money and: You have a 90% chance of getting better on your own, the same success as if i were treating you non operatively although i could make you more comfortable physically and mentally while your body healed itself as well as giving you advice as to how to minimize its recurrence. ...Read more

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Do I need to have surgery for a dislocsted disc?

Do I need to have surgery for a dislocsted disc?

Herniated: A herniated disc usually does not need surgery, over 90% of the time! but it really depends on the unique situation! and severe symptoms need proper evaluation. Conservative treatment is usually all needed, but there is a trend to mistreat people who need early surgery because of neurological damage. For nerve damage get early evaluation at a high level. ...Read more

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What do I need to do before going in for cervical disc replacement surgery?

What do I need to do before going in for cervical disc replacement surgery?

Follow: the doctors orders. i'm sure the surgeon has prepared you for the surgery. ...Read more

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I will see a new doc who will determine if surgery for pilonidal cyst is medically necessary. What should I say to convince him? Hurts? Growing?

I will see a new doc who will determine if surgery for pilonidal cyst is medically necessary. What should I say to convince him? Hurts? Growing?

You don't have to: If doctor finds that you have pilonidal cyst , pain is possibly due to infection , then will recommend you surgical treatment . Some times initial treatment is drainage of abscess ( I &D ) and antibiotics. ...Read more

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How old do you have to be before you can get a spinal surgery?

How old do you have to be before you can get a spinal surgery?

Depends on reason: Scoliosis surgery is most effective on teens where as disk problems in children or teens rarely require surgery. There is really no age limit. ...Read more

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I have no insurance or money to see a doctor, what can I do to treat a possible spinal disc disease/disk stenosis?

I have no insurance or money to see a doctor, what can I do to treat a possible spinal disc disease/disk stenosis?

Core strengthening: Most treatment plans for back injuries begin with strengthening core (abdominal and lower back) muscle groups and increasing flexibility, particularly in the hamstrings and lower back. Yoga, pilates, and similar programs are very good at accomplishing these goals. Exercise programs based on cycling and swimming are low impact activities, very helpful in rehabilitation and prevention of back pain. ...Read more

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