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Doctor insights on: What Is The Best Option For A Herniated Disc Is It Discectomy Or Fusion

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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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Fusion (Definition)

A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...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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When is surgery the best option for a ruptured disk?

When is surgery the best option for a ruptured disk?

Depend : Surgery for a ruptured or herniated disc may become necessary if there is associated radicular pain from an arm or leg and does not respond to a well directed conservative treatment program. There are emergent situations when surgery becomes the first option, i.e. Loss of bowel or bladder control. ...Read more

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What is the best painkiller for a herniated disc in the spine?

What is the best painkiller for a herniated disc in the spine?

NSAIDS: Usually the best medicine is an anti inflammatory (advil, alleve, etc.) and possibly a muscle relaxant to reduce any muscle spasm. ...Read more

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What is the recovery time for a disc bulge?

What is the recovery time for a disc bulge?

Various: A disc bulge can be variable in size and more of a problem in certain areas than others. Did you injure it? Was it spontaneous? Do you suffer local pain, areas of numbness, referred pain or muscular dysfunction? After evaluation by your orthopedic surgeon, and institution of proper medication and physical therapy, the bulge should gradually improve over a period of weeks to months. ...Read more

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What is the treatment for a herniated disc?

What is the treatment for a herniated disc?

Depends: If you've done the physical therapy and no relief, then injections like epidural steroid injections or facet joint injections may be the next treatment options. There is growing evidence that stem cell therapies can also be helpful and heal tissues but are not covered by insurance at this time. ...Read more

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How effective is surgery for a herniated disc?

How effective is surgery for a herniated disc?

Very : For the properly selected patient, surgery for a disc herniation is 90-95 percent successful. Selecting the proper candidate is critical, and also most people do respond to nonoperative care. ...Read more

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What is the best treatment for a bulging disk in one's back that is causing sciatia?

What is the best treatment for a bulging disk in one's back that is causing sciatia?

Depends: Depends on ones pain tolerance and whether serious neurological signs or symptoms are present. Anything from otc meds to narcotics to oral steroids to physical therapy to epidural steroid injection to discectomy or other more or less invasive surgery. ...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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What is a good treatment for herniated disc in back?

What is a good treatment for herniated disc in back?

First, lifestyle : Changes in terms of not being a smoker, staying trim, regular exercise (emphasis on core strength ) & regular sleep habits. Most are treated non op with back support, pt, medication & pain management options which could include: epidural steroid injections, 90% are treated without surgery and if surgery is needed 95% success rate when leg pain worse than back pain and a nonsmoker. ...Read more

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What is the best treatment for a bulging disk in your neck?

What is the best treatment for a bulging disk in your neck?

See below: The first step is to see a doctor who specializes in the evaluation and treatment of these conditions. Believe it or not, many people have bulging discs and do not have any symptoms. A specialist in this area could help determine if this bulging disc is in fact the cause of symptoms and if so can usually prescribe a therapy program which should help. ...Read more

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What is the recovery time for a back surgery on a herniated disk?

It depend: As you know we have so many operation for herniated disc. It take about 8-12 weeks. ...Read more

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How is a diskectomy different from a spinal fusion? What's the difference between a diskectomy and a spinal fusion? Is one better than the other for back pain relief? .

How is a diskectomy different from a spinal fusion? What's the difference between a diskectomy and a spinal fusion? Is one better than the other for back pain relief?

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Discectomy : Discectomy is the removal of disk. Usually only small amount of disk which has leaked out of the disk space and is pinching a nerve is removed. Discectomy is done primarily for sciatica leg pain not for back pain. Recently surgeons have had success with endoscopic discectomy for treatment of back pan caused by degenerative disk disease with a rip in the disk (radial tear). Fusion surgery most of the disk is removed and cage/bone is put into the disk space. The vertebral bodies are held together with screws and rods. Over time the upper vertebral body fuse across the disk space to lower vertebral body forming "one big bone". Fusion surgery is the standard surgery for back pain. In the future endoscopic discectomy may replace fusion surgery for initial treatment of back pain from degenerative disk disease. Please see my health guides on endoscopic discectomy. Good luck! ...Read more

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What is a disc arthroplasty?

What is a disc arthroplasty?

A disc replacement: Certain individuals with lumbar or cervical disc disease can qualify for a disc replacement. Somewhat similar to hip and knee replacements done today. The purpose of this procedure is to maintain motion at the level with the disc pathology. This helps to prevent further degeneration of the disc that are adjacent to the level operated on in the future. ...Read more

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What is done for a herniated disk in the thoracic area?

Nonop v surgery: Like a lot of disc herniations, they are found frequently in people with no pain & when the cause of symptoms they are treated non surgically with time, medication, activity modification, guided exercise & life style changes. Epidural steroid injections are an option. When pain does not get better & severe enough &/or creating neurologic issues then surgery which can be done several ways. ...Read more

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What is treatment for a slipped disk in lumbar region?

What is treatment for  a slipped disk in lumbar region?

Usually no surgery: 90% of disc herniations get better without surgery. Treatment includes: activity modification, medication, physical therapy, epidural steroid injections, and time. Not all need to be done. In those that do not get better or have significant issues like a muscle weakness or symptom progression or bowel/bladder issues, surgery has a 90% success rate in a nonsmoker. ...Read more

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What is the recovery time for a bulging disc?

SPORT study : Variable, conservative therapy includes anti inflammatory meds, physical therapy, and epidural injections. Last resort always surgery. Check out google search sport study dartmouth for one study on the topic. ...Read more

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Acdf vs disc replacement: which one is better? What is the criteria for a cervical disc replacement. I already have a fusion at c5-7. C4-5 herniated

They are equal good: They are equivalent the decompression that precedes skeletal reconstruction is the effective part of the procedure for arm pain niether treat neck pain well what is you target symptom? Replacement advantages are theoretical in my opinion and comercially exagerated. In my opinion. ...Read more

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What is the difference between a bulging or slipped disk? Is a slipped disk the same as a herniated disk? Please help thanks for all the help

What is the difference between a bulging or slipped disk? Is a slipped disk the same as a herniated disk? Please help thanks for all the help

Synonyms: The terms bulging disk, slipped disk, herniated disk are roughly the same idea that they disc has moved out of place where it should be and possibly compressing nerve or spinal cord. Typically though herniated disk signifies a slight increase in severity of pathology over a bulging disc. It gets a little more specific if terms like disc protrusion and disc extrusion come into the mix. ...Read more

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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

See 1 more doctor answer
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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

See 1 more doctor answer
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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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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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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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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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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 more

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What is the best way to heal a herniated disc?

What is the best way to heal a herniated disc?

Fix, Unlikely...: Core strengthening can be the source to heal the disc as best as it can. Sometimes epidural injections are needed to reduce to the pain to keep with the exercise routine. Finally a fix would truly be surgery, in which you cut out the offending part of the disc, however it has its risks/benefits as well. ...Read more

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What is the best way to cure a herniated disc for a young teenager?

What is the best way to cure a herniated disc for a young teenager?

Evaluation: First, one must be examined by either an orthopaedist or neurosurgeon. If there are no neurological deficits, one should be treated with NSAIDS, therapy involving core strengthening, and pool therapy. Would try to stay away from narcotics in this age group. ...Read more

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What is the best painkiller for a herniated disc in the spine?

NSAIDS: Usually the best medicine is an anti inflammatory (advil, alleve, etc.) and possibly a muscle relaxant to reduce any muscle spasm. ...Read more

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What is the best diagnostic method to see if there is herniated disc or it's about piriformis syndrome?

An MRI: A physical exam is first in the evaluation. Piriformis syndrome and sciatica often causes pain in the buttock and posterior thigh. Nerve irritation or compression from a herniated disc can cause similar symptoms but with pain and weakness extending below the knee and sometimes into the foot. Plain x-rays then an MRI if symptoms persist is the image of choice. ...Read more

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What is the best way to position my body for bed if I have a lumbar herniated disc?

What is the best way to position my body for bed if I have a lumbar herniated disc?

Typically however: You are most comfortable. If you are concerned about doing something to provoke the problem, speak with a good physical therapist. ...Read more

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I've been having pain from my L5 herniated disc for about a year now. What is the best treatment?

Lumbar disk : The decision to have surgery for a disc problem is divided into leg and back pain. A discectomy is done for leg pain while a fusion may be indicated for back pain related to the disc. Studies suggest the long term (2year) outcome can look similar whether surgery or rehab is chosen. The main indication for surgery is the inability to tolerate the severity of pain. ...Read more

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What is the best treatment for large left herniated disc L2 l3 and pain upon sitting or lying down.

Depends on pain: Most disc herniations heal with time. Depending on pain levels, medications like antiinflammatories and muscle relaxers are often helpful. If there is severe enough pain, an epidural injection may help. About 10% to 15% of patients need surgery. ...Read more

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What is the best cardio after healing from herniated disc ? can i get back the muscles of my midsection (six pack) ?

What is the best cardio after healing from herniated disc ? can i get back the muscles of my midsection (six pack) ?

Swimming or cycling: Will not put as much strain on your back as jogging. Abdominal exercises such as situps or crunches should be avoided. Planks or yoga will assist in regaining toned abdomen. Thanks for trusting HealthTap! ...Read more

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Which treatment works the best and fastest for herniated disk?

Which treatment works the best and fastest for herniated disk?

Depends: There is no "one best" treatment for a herniated disk. Most normal, healthy people with no back pain have detectable bulges in some of their disks so we know that not every herniated disk even needs treatment. You should see you doc and together design a treatment plan that treats your symptoms and gets you back as close as possible to your desired activity level. ...Read more

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Dr. Scott Tromanhauser
211 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. Suzanne Galli
179 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