Doctor insights on:
Is It Ok To Still Have Pain And Numbness After Herniated Disc Surgery
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
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
I have a back that needs surgery on it. Herniated disc, degenerative changes. 3 days now my right hip & thigh have gone numb with a lot of pain.
I have a herniated disc c6-7, minimal shoulder blade pain, tingling not quite numb in my fingers. Is surgery my best option? Dangerous not to operate?
No and 90% are : Treated without surgery. Your symptoms do not sound like they warrant surgery so give it time & try otc meds if no reasons not to use them & avoid activities that aggravate symptoms. Surgery is for disc herniations that do not get better after 12 weeks & the symptoms are severe enough to do surgery in the first place. Surgery is most predictable in relieving pain but not neurologic symptoms. ...Read moreSee 1 more doctor answer
Just had an operation on herniated disc l4/l5 and still same symptoms on left leg as before op i.E. Numbness and scrapping feeling, is this normal ?
Yes generally after : Twelve weeks postop and with appropriate rehabilitation and clearance from your surgeon. ...Read more
Is it a better choice for surgery instead of other treatment if my spinal herniated disc become numbness of both hand and weakness'?
SORT THIS OUT: Surgical indications involve risk to spinal cord, progressive weakness with/without atrophy, unstable spine. If you have bilateral hand symptoms, not necessarily from herniated disc, and could be due to peripheral nerve problem such as carpal tunnel syndrome. Need to consider if disk is truly the culprit. Might get EMG to objectify situation. ...Read moreSee 1 more doctor answer
Should I have surgery on my neck or injection? I have a herniated disc at my c5-6 cervical that is compressing a nerve that is givin me right arm pain and numbness.Should i choose to have surgery instead of the injection to asure that i want have issues w
Surgery : Surgery and injections are not interchangeable options- they work in completely different ways. The decision is made typically on what symptoms you have, what your examination shows, and what your MRI demonstrates. Injections are typically done under x-ray guidance (fluoroscopy) to direct a needle, under local anesthesia, into either the spinal canal (for an epidural injection) or into the small canal through which an individual nerve leaves the spine (a selective nerve root block, into the foramen). Typically, both a numbing medicine (local anesthetic) and a steroid are injected together. A diagnostic block may only use the local anesthetic without the steroid. The local anesthesia gives you temporary relief of the nerve pain, and the steroid may give you longer relief. To be clear, injections do not make the disc herniation resolve or heal any faster. However, as the majority of disc herniations will heal without surgery, injections often help control the pain while the body is trying to heal itself. I always prescribe physical therapy with injections. In my experience, injections do nothing for numbness, or for weakness- only for pain relief. The advantage of an injection is that it can be done without general anesthesia, in the office, and with quick recovery. The disadvantage is that it does not remove the herniated disc, or take the pressure off of the nerve, so the injection relief may be short-lived. Surgery is much more invasive, but does involve direct decompression of the pinched nerve, with complete removal of the herniated disc. This treats both pain, weakness, and numbness. However, surgery is also much more involved, with an overnight stay in the hospital, general anesthesia, and recovery over several weeks. It is a more permanent treatment, however. I send lots of patients for injections and operate on many others. The patient who responds best to injections is one whose primary complaint is pain (little numbness and no weakness), who has a smaller disc herniation, with recent symptoms, and who has no signs/symptoms of spinal cord compression. Patients with larger herniations are less likely to improve with conservative treatments, and typically do better with surgery. Patients with signs/symptoms of spinal cord compression, or those with progressive weakness of the arm/hand, or with severe pain, often do better with surgery. Patients with long-standing symptoms (more than 6 months) likely have a disc herniation that is not healing, and are less likely to have long-term relief with injections. ...Read moreSee 2 more doctor answers
After spinal surgery for a herniated disc at l4-l5 and l5-s1 how long will it take for foot numbness to go away?
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