Lumbar Disc Surgery
Treating Low Back Pain and Sciatica
When a
disk weakens, the outer rings may not be able to contain the material in the
center of the disk. This material may bulge against or squeeze through a tear in
the outer rings and press against a nerve, leading to pain in your lower back
and leg. A herniated disk occurs when disk material bulges against the outer
rings. The bulging disk may press against one of the nearby nerves passing
through the vertebra. A free fragment occurs when disk material separates from
and moves outside to the outer rings through a tear. The fragment may irritate a
nearby nerve.
Persistent pain in your low back or leg caused by spinal
disk problems can be frustrating because it limits your ability to move and do
things you enjoy. To manage your low back (lumbar) problem, you may have
followed your doctor's conservative treatment plan - rest, medication, physical
therapy, and exercise. But, despite your best efforts, the pain won't go away.
Surgery can help relieve your pain by treating your disk problem.
Your disk
problem may be corrected by a diskectomy, the surgical removal of the portion of
the disk that's putting pressure on a nerve, causing pain in your back or leg.
Your surgeon may recommend a "classic" diskectomy, or a micro-diskectomy. The
basic differences between these surgeries are the size of the incision, how your
surgeon reaches your disk, and how much of the disk is removed. The "classic"
diskectomy and micro-diskectomy require a hospital stay of 1-2
days.
Recovering from back pain and surgery is an ongoing process. How fast you recover depends on the type of surgery you had, your commitment to working closely with your physical therapist, and moving and exercising correctly, as recommended by your surgeon. It may take six months or longer before your back is completely healed.
You and
your surgeon will continue to work together during your recovery. Before you
leave the hospital, your surgeon may schedule follow-up visits with you, so that
he or she can evaluate your progress, advise you about your activity level, and
adjust any medications, if necessary. Sometimes your doctor may recommend
follow-up tests to make sure that you are healing properly.
Learn
more about Cervical
disc surgery, Craniotomy for tumor
and aneurysm, or Endovascular
treatment of aneurysm.
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