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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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Dr. Thomas Dowling
814 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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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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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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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?

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 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

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


Dr. Scott Tromanhauser
195 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