Doctor insights on:
Sciatica After Discectomy
Had micro discectomy for sciatica down right leg 8 weeks ago now experience pain in left hip am i expecting to much to soon as op considered success?
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 can take up to 3 months. 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 moreSee 2 more doctor answers
Low back pain is pain that occurs in the back above the buttock area and below the ribs. Low back pain can be sharp, dull, intermittent or constant. Pain can be at rest or associated with activity. Back pain can also be accompanied with pain that shoots or radiates down into the lower extremities or legs which is frequently ...Read more
Neither: is first line treatment or standard of care for a herniated disk. Suggest core strengthening exercises first, then maybe consider epidural steroid injections and facet joint treatments if needed. After that surgery can be considered. Only time surgery is first line is if you are having weakness, loss of function of bowel or bladder or extreme pain not resolved with above treatments. ...Read moreSee 2 more doctor answers
After having a discectomy last year I am still getting sciatica and back pain. I ve had a nerve block but still get pain abs worse with a full bladder
Speak with Surgeon: Recommend speaking with surgeon to discuss your pain issues. While pain may be normal after surgery, sometimes when pain increases above normal status, then evaluation may be needed to make sure no complications has arisen. Otherwise seeing pain/spine specialist may provide more answers. ...Read moreSee 2 more doctor answers
I recently had a discectomy L5 s1 about ten days ago iam still having severe sciatica pain shooting down through my leg how long should I expect this level of pain?
3 months: 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 can take up to 3 months. 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 moreSee 2 more doctor answers
Testicle pain 5 yrs. Maybe pudendal entrap but 1of3 blocks helped. Penineal branch& genitofemoral cut. Now sciatica. L5s1 discectomy no help. Related?
Herniated L5/S1 w/sciatica & left SI joint pain for 2 mos. Drs want discectomy. How likely would PT and time make nerve and joint pain go away?
Depends on the case: Sometimes PT and other conservative therapy is enough to fix S1 radiculopathy. It's common for this to be recommended. If your MRI film shows obvious impingement, it may be therapy will not help though. When walking is affected, the reflexes are absent (ankle reflex here) and there is a lot of pain, if the MRI shows herniating disc material it is probably better to have the procedure. ...Read more
Mri shows herniated lumbar disc but no back pain only sciatica. Esi only lasted a few days. Chiro recommends discectomy. Any non-surgical options?
Non-surg back option: Physical therapy can benefit even long-term degenerative disc disease sufferers, aimed at muscle relaxation then equilibration, opening intervertebral disc spaces for discs to return to their normal shape, and physical pain relief. Tens units & licensed massage therapy help pain without side effects. Swimming helps strengthen back muscles without jarring or grinding down discs. Good luck! ...Read moreSee 3 more doctor answers
I had a discectomy for L5 s1 almost 2 years ago. I still have low back pain. The doctor sees no reason for it and now I have tightness in my upper back. What should I do?
Post-discectomy synd: Patients need to remember that the main indication for a discectomy surgery is to relieve leg pain or sciatica. Most times, the back pain after discectomy is not debilitating and can be dealt with with exercise and medication. A smaller percentage of the time, the pain is more severe. The pain can be secondary to degeneration of the remaining disc, instability, adjacent discs or muscular. ...Read moreSee 2 more doctor answers
Variety of ways: Several ways but standard in the lower back is a microdisectomy through a small posterior incision leading to the roof or lamina of the spine where a small keyhole opening is created through a natural open area & moving the nerve & nerve sac out of the way to access the piece of disc herniated with special instruments to protect the neural elements while removing disc fragments as an outpatient. ...Read moreSee 1 more doctor answer
Excision: 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 failed no operative care. ...Read moreSee 2 more doctor answers
Partial disc removal: 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 complete discectomy is performed. ...Read moreSee 1 more doctor answer
Back soreness: I'm assuming here that you're having a lumbar microdiskectomy. You will experience some incisional soreness, low back aching and pain which is easily managed with medication. If you are experiencing leg pain and numbness, the pain should be better quickly afterward. Numbness takes longer. Rest is the key. No excessive activity. Ice pak on the back helps. You should improve quickly. Good luck. ...Read moreSee 1 more doctor answer
Expect problems: Removing the disc in your TMJ is not a good idea and should be avoided if possible. This procedure not only places the joint in a compromised position, but will increase the possibility of arthritis and degenerative changes. I would seek other opinions. You might look up dr. Larry wolford in dallas and get his opinion. I wold not recommend doing this to anyone. ...Read moreSee 3 more doctor answers
Depends: This is variable. Even though pain relief is achieved after decompressing the nerves by removing disc material, sometimes the nerve takes time to recover, if at all & the recovery could be partial or total from immediately to never. Most are going to get maximum recovery in 6 months but it could occur over years. Less likely if a neuropathy present or if a diabetic. ...Read more
YES: Anterior cervical discectomy with or without fusion has a proven success rate of 90-95% for relief of symptoms secondary to a disc herniation and nerve root compression. No surgery should be taken lightly. Possible complications include infection, hoarseness, hematoma formation, paresis/paralysis, failure of fusion, continuing pain, & others. For the correct diagnosis it is an excellent procedure. ...Read moreSee 1 more doctor answer
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
Laminectomy: You need to know certain basic anatomy oy the spine.Vertebraes are form of an anterior body and posteror part called the laminae joint by the spinous process.Laminar are right and left.Hemilaminectomy means that only one side othe laminae are removed(partially)to gain access to the disc space and discectomy means removal of the disc material. ...Read more
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
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