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Doctor insights on: When Does A Patient With A Disc Herniation Undergo Lumbosacral Discectomy

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When does a patient with a disc herniation undergo lumbosacral discectomy?

When does a patient with a disc herniation undergo lumbosacral discectomy?

Weakness, pain: Usually when the disk presses on a nerve root causing either significant pain -sciatica, or weakness in the leg. ...Read more

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Dr. Ana Adelstein
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Lumbar (Definition)

The lumbar part of the spine is the low back. It is made up of five bones (most of the time) stacked one on top of the other. They are connected by disks, facet joints, and ligaments. These soft parts allow for movement controlled by the spinal muscles; the muscles can also keep it stiff when need be. The lumbar spine also contains and protects nerves to ...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?

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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What exercises and spinal positions should I avoid if I have a lumbar disc herniation?

What exercises and spinal positions should I avoid if I have a lumbar disc herniation?

Several: Generally, you're going to want to avoid high impact exercises as they may worsen the herniation. Avoid rapid starts and stops. Emphasize exercises that gently stretch, like yoga, and remember to respect your body; when something causes you pain, don't do it. I would also strongly advise seeing someone who specializes in this type of problem. You need to fix it and not make it worse. ...Read more

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What does it mean if the right paracentral protruded disc herniation at lumbar 5 - sacral 1 is compressing the right sacral 1 root in the right lateral recess?

Anatomy: There is a right sided protruding disc between the L5 and S1 vertebrae which is pressing on the right S1 nerve. Typically this will cause pain and/or numbness down the back of the leg, into the side of the foot, and there may be weakness when trying to push down with your foot (i.e. pressing on the car accelerator). ...Read more

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Can a lumbar disc herniation cause tingling in the back and neck?

Can a lumbar disc herniation cause tingling in the back and neck?

NO: A lumbar disc herniation will not cause tingling in the neck. In the cervical spine there is the spinal cord and nerve roots that supply the upper extremities. A disc herniation will not affect the spinal cord or cervical nerve roots. It may result in lower back pain. If lumbar nerve root is compressed/ irritated then you may experience pain, numbness and tingling of the lower extremities. ...Read more

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What typically happens with my lumbar disc herniation, if I don't go to see a doctor?

What typically happens with my lumbar disc herniation, if I don't go to see a doctor?

It usually heals: Most lumbar disc herniations tend to heal on their own. Anti-inflammatory medication and traction type of therapy often helps to relieve the pain. The herniated disc often takes up to 3 months to heal. Seek medical attention if there is progressive pain, inability to walk, numbness, weakness, or any changes with bowel/bladder function. ...Read more

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What is a iR 100 custom procedure exactly? I'm supposed to schedule on for my lumbar disc herniation L5-S1. Curious about actual details of procedure.

What is a iR 100 custom procedure exactly? I'm supposed to schedule on for my lumbar disc herniation L5-S1. Curious about actual details of procedure.

Back pain: Ask your surgeon to explain the procedure using your MRI studies, models of the spine, and brochures. Risks, benefits, and alternative treatments should be discussed as part of the informed consent. IR stands for interventional radiology. Apparently, a radiologist is perfoming your procedure. It is reasonable to ask how many of these procedures has her/she performed and the expected recovery. ...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


Dr. Ana Adelstein
173 doctors shared insights

Diskectomy (Definition)

Surgical ...Read more