Top
20
Doctor insights on: What Is The Best Option To Treat A Herniated Disc Discectomy Or Fusion

Share
1

1
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

See 1 more doctor answer
Dr. Thomas Dowling
845 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


2

2
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

See 1 more doctor answer
3

3
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

4

4
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 more

See 2 more doctor answers
5

5
What is the best treatment for a compression fracture to lumbar vertebrae?

What is the best treatment for a compression fracture to lumbar vertebrae?

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 more

See 1 more doctor answer
6

6
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

8

8
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

See 2 more doctor answers
9

9
Is surgery the only remedy to relieve a cervical spine problem?

Is surgery the only remedy to relieve a cervical spine problem?

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 more

See 2 more doctor answers
10

10
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

11

11
What is the best treatment for spinal stenosis (besides laminectomy)?

What is the best treatment for spinal stenosis (besides laminectomy)?

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 more

See 2 more doctor answers
12

12
If I request a microdiscectomy as oppose to conservative treatment for a lumbar bulging disc what are the pros and cons?

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

13

13
How common is it for someone to need an anterior lumbar interbody fusion?

How common is it for someone to need  an anterior lumbar interbody fusion?

Fairly routine: Anterior lumbar interbody fusion (alif) is a procedure that is routinely performed to treated degenerative disc disease/spinal instability. It is most commonly performed on the l5-s1 level. ...Read more

14

14
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

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

15

15
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

See 2 more doctor answers
16

16
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

See 3 more doctor answers
17

17
What is best medicine treatment for spinal herniated disc?

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 more

See 2 more doctor answers
18

18
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

19

19
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

See 2 more doctor answers
20

20
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

See 1 more doctor answer

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
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