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Doctor insights on: Recurrent Herniated Disc After Discectomy

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Which is better for? A herniated disc ---? Discectomy or fusion?

Which is better for? A herniated disc ---? Discectomy or fusion?

Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. Read more

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Dr. Thomas Dowling
843 Doctors shared insights

Bulging Disk (Definition)

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


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What is the best option to treat a herniated disc discectomy or fusion?

What is the best option to treat a herniated disc discectomy or fusion?

It depends: The most common surgical treatment for a disc herniation is a microdiscectomy. Which means that the surgery is done with a small incision under a microscope. And this is quite successful to treat the pain going down the legs. However, if there is severe disc degeneration or instability, then a fusion may need to be performed as well. Read more

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What is the best option for a herniated disc? Is it discectomy or fusion?

What is the best option for a herniated disc? Is it discectomy or fusion?

Usually diskectomy: In the majority of cases of low back disk herniation needing surgery, diskectomy is the best approach. In the neck, diskectomy combined with fusion is the best approach most of the time (in select cases neck diskectomy without fusion is a good option). Review your options with your provider. If in doubt, get a second opinion. Read more

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Can you suggest exercises post herniated disc surgery (discectomy)?

Can you suggest exercises post herniated disc surgery (discectomy)?

Herniated disc: The exercise are really based on where the pain distribution is location and any other associated signs or symptoms. Consultation with a local physical therapist would like be the best recommendation as they have the most experience in this type of treatment. Read more

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Which is better in removing herniated disc. The microdiscectomy vs endoscopic discectomy?

Which is better in removing herniated disc. The microdiscectomy vs endoscopic discectomy?

Disc herniation: Both approaches to removing disc herniations are effective. The location of the herniation will dictated the best approach, whether more from the middle of the spine to an approach from the side of the spine. Many spine surgeons have experience with both microdiscectomy and endoscopic. It is important to discuss these approaches with the surgeon. Read more

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How successful is a discectomy for a herniated disk?

How successful is a discectomy for a herniated disk?

90-95%: As long as leg pain is predominant or only pain and imaging studies reveal a disc herniation compressing the nerve consistent with your symptoms and exam findings are positive and surgery done after nonop care fails but not waiting too long allowing secondary changes to affect compressed nerve, successful outcome 90-95%. Read more

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Is an endoscopic discectomy a good suggestion for people with a herniated disk?

Sometimes: Several surgeons use an endoscope to do the disc removal while many more use a microscope. As long as the surgeon is well trained in the procedure then it is a viable (although less common) option. Read more

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Is there a chance to have a recurrent for the herniated disk?

Is there a chance to have a recurrent for the herniated disk?

Possible: If you have had a herniated disk, this can shrink and desiccate over several months, but a traumatic event could result in more local damage and cause additional herniation or even fragmentation and either could compress a nerve root. Read more

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When will my herniated disc heal?

When will my herniated disc heal?

May take months: It is pertinent that a European study of un-operated ruptured discs showed desiccation and shrinkage spontaneously over a period of 8-10 months. Read more

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What can I do to relieve a herniated disc?

What can I do to relieve a herniated disc?

Various Ways: Good thing is that you may successfully manage symptoms from herniated discs with conservative options including anti-inflammatories (if not medically contra-indicated for you), physical therapy, spinal injections. Only few will need surgery for persisting symptoms or for progressive neurologic deficit or changes in bowel or bladder function. Read more

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Should I do spinning if I suffer from herniated disc?

You can: If you are not symptomatic from your herniated disc, spinning is a good form of aerobic exercise that is less likely to aggravate your disc. Read more

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What are the signs that indicate a herniated disc started to heal?

What are the signs that indicate a herniated disc started to heal?

Disc herniation: There are varying degrees of disc herniation: bulge, protrusion, extrusion, and free fragment. Disc extrusions and free fragments slowly dry up and dissolve on their own, however this takes time. Bulges and protrusions usually do not "heal" but can be helped with improved posture. Epidural steroid injections can reduce nerve swelling caused by the disc irritation, but not to shrink the disc. Read more

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Can a herniated disc become septic?

It can: However that is rare, unless you are an IV drug user, had recent surgery or spine procedure or are septic in your bloodstream in general. Read more

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Do bulging discs or herniated disc heal?

Do bulging discs or herniated disc heal?

Weeks to Months: Generally most people can get relief from sciatic pain doing the conservative care within 3-6 weeks. If it persists after that, it can take up to 6 months to heal by itself. Consider core strengthening exercises while you are on your own at home. You may still be a candidate for epidural steroid injections that may help relieve the pain while your body heals itself. Read more

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What is a cervical bilobed herniated disc?

What is a cervical bilobed herniated disc?

Pretty rare: Hi, good? You may know that a herniation is when the nucleus pulposus (central aspect of the disc) escapes through the anulus fibrosus and can exhibit mass effect on spinal structures. Herniations are NOT uncommon, I see them daily on MRI. BILOBED appearance is rare...see the photo that I just entered into the answer. Bi = 2 and you can see that there are 2 "lobes" or components. Take care Read more

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I have a herniated disc; can I drive a car?

I have a herniated disc; can I drive a car?

As long as you have: A valid license and you are not taking any medication that may impair you for your symptoms related to the disc herniation. Sitting and driving may aggravate your symptoms and watch that your reaction time is not diminished by any of your symptoms like back &/or leg pain, numbness or weakness. Read more

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Herniated disc, what is better, heat or ice?

Herniated disc, what is better, heat or ice?

Herniated Disc: It really depends on the acuteness of the disc herniation. Early in the course of the disease ice might be considered good, however, for chronic disc herniation, heat would be of most benefit. Read more

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What to tell me about herniated disc surgery?

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

Dr. Scott Tromanhauser
210 Doctors shared insights

Discectomy (Definition)

Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more


Dr. Sandra Lora Cremers
177 Doctors shared insights

Diskectomy (Definition)

The term discectomy refers to an excision of all or part of a disc. The disc itself is a cartilage structure that is located between two vertebral bodies. Disectomies are typically performed to improve pain and/or function in a patient that had ...Read more