Doctor insights on:
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? Is artificial disc replacement or fusion surgery best for treating cervical spondylosis?
Many variations: Anterior or posterior, discectomy, decompression, or fusion. All affect recovery rates. For fusions, anterior cervical tends to be an easier recovery than lumbar. Cervical adr is quite comparable to fusion for short and mid-term outcomes. Longer term studies may show better long-term results than fusion, but we currently don't have enough data. ...Read moreSee 2 more doctor answers
Depends: It depends on the type and location of the fracture and the age of the patient. Often times, wearing a brace and avoiding strenuous activities will allow a compression fracture to heal in younger patients. In the elderly, if these measures fail, a kyphoplasty may be an option. Check out spine-health.Com. ...Read moreSee 1 more doctor answer
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
No such medical term: Nevwr heard of a diagnosis with that title. ...Read more
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 moreSee 2 more doctor answers
Usually last one: Unless you have a tumor, infection, an unstable fracture or one with neurologic issues, a myleopathy, or a progressive neurologic dysfunction caused by spinal stenosis or a disc herniation, surgery should be final option after: activity modification, exercise/physical therapy, time, medication and where indicated: a soft cervical collar, pain management, massage, acupuncture, local heat, traction. ...Read moreSee 2 more doctor answers
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
Nonsurgical: Well, ideally it would respond to some form of nonoperative care including usually epidural steroid injections. The surgical approaches can include indirect decompression, decompression, or decompression combined with a fusion. Don't hesitate to be seen to discuss the risk/benefits of your specific case. ...Read moreSee 2 more doctor answers
If I request a microdiscectomy as oppose to conservative treatment for a lumbar bulging disc what are the pros and cons?
Microdiscectomy: There are always inherent risks of surgery (infection, nerve damage, spinal fluid leak, anesthesia risks including heart/lung problems, blood clots, stroke, even death). Although rare, all of these can happen with surgery. Herniated/bulging discs have a good chance of resolving without surgery within 6-8 weeks from onset of symptoms with conservative management ...Read more
If you have a diffuse disk bulge with a superimposed right paracentral and foraminal extrusion what is the best way to treat it waiting for the answer
The : The question describes a finding from an MRI examination. Treatment should always focus on patient symptoms. That being said, typical symptoms from a right paracentral and foraminal disc extrusion would include elements of pain, numbness and tingling radiating into the right leg. Conservative therapy would include rest and oral anti-inflammatory medications. Therapy may progress to include an imaged guided steroid injection around the involved nerves. Physical therapy may be involved. Patients who fail to respond adequately to these conservative measures will require evaluation from a neurosurgeon. ...Read more
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 moreSee 3 more doctor answers
Depends on symptoms: If no symptoms, do nothing. If mild symptoms anti-inflammatory medications work great (take with meals, and make sure you can take those -- clear with your primary care doctor). If symptoms is acute and very severe, you can get a Medrol (methylprednisolone) dose pack (oral steroids) which you take over 6 days... Ask you doctor to evaluate you first. You cannot have this if you have infection or brittle diabetic, etc.. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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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