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

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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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Dr. Thomas Dowling
836 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 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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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 ?

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?

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

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 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 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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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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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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What's the best treatment to get rid of herniated disk?

Depends: A herniated disk is only problematic when it puts pressure onto a spinal nerve, resulting in pain, numbness, and/or weakness in the nerve distribution. As we age, most people develop disk bulges and herniations that are expected aging changes and do not produce symptoms or warrant treatment. Most symptomatic herniations can be treated without surgery, however a small percentage may need surgery. ...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


Dr. Scott Tromanhauser
204 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