Doctor insights on:
How Long Does It Take To Recover From Surgery On A Herniated Disk
2-6weeks: Definition of recover vary leg pain improves within days muscular backache follows fo 6 weeks. Or longer. ...Read more
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
Quick: Arm pain is gone usually within days. Sore throat and swallowing probs disappear in first week or two in most. Healing allows light activities for most in first week or two. Brace discontinued immediately if short fusion and plate/screws used; 6 weeks later if no plate. Medium activities after 6 weeks. I allow heavy activities 3-6 months postop including contact sports. ...Read more
Several things: Medication can help. Adjust the way you do things (avoiding positions and movements that aggravate your pain, but still stay as active and "normal" as possible. If simple measures fail, an injection may be helpful. Ask your provider for options. ...Read more
I have a L4-5 herniated disk with pinched nerve. Pain is ok with gabapentin. But I do not want to take medicine for ever. Should I go for surgery?
No Simple Answer: L4/5 herniated disk w/pinched nerve and pain will often - but far from always - respond to surgery. Factors such as exact location of disk material pressing on nerve root, weakness present (if any), exam findings like changed reflexes all matter. Minimally invasive techniques are helpful in some cases; others need surgery. A focused neurologic exam and a visit w/a neurosurgeon is a good plan ...Read more
Same day low back: A microdisectomy or a minimally invasive version are typically same day surgeries with return to all activities by 3 months for best results according to studies but most activities by 2 weeks depending on conditioning and health status. For cervical, this is usually done with a fusion but all activities around same time period as lumbar but no contact sports usually with a fusion, . ...Read more
It depend: As you know we have so many operation for herniated disc. It take about 8-12 weeks. ...Read more
Usually 6-10 weeks.: Usually 6-10 weeks. People heal in different time frames. During the healing process, I advise patients to avoid heavy lifting or strenuos activity. I do encourage them to begin a walking program. Check out spine-health. Com. Good luck. ...Read more
Unfortunately, yes.: Unlike wear and tear on knees, hips and shoulders, there are no adequate replacement parts for spines. Disc surgery only changes your spine but does not "fix" it. Even fusion surgery does not fix the problem, but only is an attempt to change the structure of your spine. The current "replacement discs" are not an adequate substitution for the original cushion. Be evaluated by a pain specialist. ...Read more
Definite indications: 2 indications are a disc herniation leading to myleopathy or cauda equina syndrome. A myleopathy is compression of the spinal cord leading to its dysfunction and cauda equina syndome is bowel/bladder control issues due to those nerves being compressed. Otherwise, disc surgery is for those who fail non op care or may be having intractable pain or a progressive deficit in terms of weakness. ...Read more
No such medical term: Nevwr heard of a diagnosis with that title. ...Read more
Quickly: For sedentary type work activities you could return within 1 to 2 weeks. ...Read more
Is it true that most people return to do the physical activities they love after a herniated disk surgery?
Doctor dependent: I would see what your surgeon thinks. Swinging is probably not that bad. Loading and unloading heavy clubs into your car and other similar things that go into the logistics of playing golf are probably not good in light of recent back surgery. I usually tell my patients to stick with putting for the first 6 weeks. ...Read more
WHEN: The patient has radicular pain consistent with a disc herniation and specific nerve root compression/irritation that has not responded to a well directed conservative treatment program. A decompressive laminotomy & discectomy may be the treatment of choice. An endoscopic approach is a minimal invasive approach to the surgical care. ...Read more
Conservative: Most patients with a diagnosis of disc herniation do not need surgery. Unless there are significant neurologic symptoms such as severe or progressive weakness, and bowel or bladder changes, non-op management for up to 8-12 weeks can sufficiently alleviate most patients. If symptoms do not get better or recur, then properly indicated surgery should help. ...Read more
Maybe: Cortisone injections (why 3? ...There is no standard to do 3 shots.) can help the inflammatory process of the nerve roots irritated by the disc hernitaion. These injections do not "heal" the disc, but can cause accelerated pain relief. Disc herniations occasionally resorb (disintegrate) over time, but there is no guarantee that a disc is healed once the pain is gone, even from injection therapy. ...Read more
Depends: Many variables needs to be considered including your status of overall fitness, location of your disk surgery, level of involvement and the nature / complexity of your surgery. Make sure you have a thorough discussion with your surgeon to minimize suprises and/or disappointment postop. ...Read more
That depends on why: There is still leg pain. Sometimes it is related to inflammation early postop although a retained disc fragment, a recurrent disc herniation, an unrecognized conjoined nerve root was present, scar formation or wrong level was operated on. Maybe the leg pain was not related to preop disc identified. Speak to your surgeon about further imaging if needed & treatment based on clinical exam & images. ...Read more
Yes: Most sporfs are acceptable if one has a good result and is rehabed and continuing with an exercise priogram but ine should avoid raquet sports and a modern golf swing and learn a traditional golf swing. ...Read more
Yes generally after: Twelve weeks postop and with appropriate rehabilitation and clearance from your surgeon. ...Read more
Yes: Yes, even football players do return to their sport. Generally, one wants to wait about 12 weeks post operatively and also go through some rehabilitation and conditioning before returning to sports. ...Read more
It should on it's. .: This should do it on own if you! Re non smoker & your leg pain was predominant pain. Occasionlly, the nerve can still remain irritated from it's prior compression &/or manipulation during surgery. Anti inflammatory meds or meds like neurontin, Elavil or Cymbalta (duloxetine) may help as well. If the pain is persisting, you may need a contrast MRI to see if there is a retained disc fragment or recurrent one. ...Read more
Usually none except: Most disc surgeries are successful when done for primarily sciatic pain in a non smoker, 90-95%. There is usually some incisional pain based on the size of incision. There may or may not be some residual pain in the leg usually due to ongoing nerve irritation from its prior compression by the disc or by the manipulation during surgery. Sometimes, there can be residual neurologic symptoms ...Read more
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 & all bets are off if you are a smoker. However, about 10% of disc surgery patients can experience back pain due to ongoing degenerative changes in disc over time with a 5% risk of reherniation. ...Read more
Back surgery: The cost for back surgery is typically higher in the hospital than in an outpatient surgical center. The cost for fusion surgery such as artificial disc replacement or intervertebral body fusion is much higher than a simple discectomy. If you are a cash paid patient, you should expect the global cost for 1 level lumbar spine surgery is between $20k to $30k. ...Read more
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