Doctor insights on:
Pain 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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
Yes: The vast majority of patients (80%) will get better without surgery in approximately 3 months. ...Read more
Would you prefer surgery or non-invasive methods for correcting a herniated disc - if you were diagnosed with it?
Depends: Surgery is only used as a last resort and the majority of the time is not necessary it really depends on the duration and intensity of symptoms. ...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.
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
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