Ask if you can negotiate a lowered rate because you are paying from your own pocket. The translaminar approach is the only tissuesparing technique viable in cases of cranially migrated ldh encroaching on the exiting nerve root in the. The nerve root is the first part of the nerve that arises from the spine and after joining with other nerve roots will form a peripheral. If you do any heavy lifting at work or for exercise, this needs to be put on hold for 12 weeks.
Any recommendations from people who have gone through this more then once thanks. Know about microdiscectomy procedure how it is performed. Microdiscectomy medical definition written by doctors. Here we demonstrate an mis microdiscectomy on a 24yearold female with a left l4 and l5 radiculopathy secondary to a large l45 disc herniation. After my last surgery discectomy at l4l5, i experienced some tingling and general numbness in the areas where my sciatic pain was the most intense bottom tibiaankle and toes. During the procedure, your surgeon makes a small incision in your lower back for a herniated disc in your lumbar spine or back. Potential advantages of the mis microdiscectomy approach include decreased muscle and soft tissue disruption, shorter length of stay and decreased postoperative pain. Minimally invasive lumbar discectomy video gallery. The yellow circle highlights the l5s1 disk which you can see a very distinct protrusion. Does anyone know how it feels after, and how much it hurts. This is usually done for a herniated lumbar low back disc that is causing symptoms due to irritation of or pressure on a nerve root. Longterm outcomes of standard discectomy for lumbar disc.
It is comforting to know that i am not the only individual going through this. Microdiscectomy is a minimally invasive surgical procedure using a microscope to view and remove portions of a herniated disc in the spinal cord. Information following microdiscectomy laminectomy lumbar lower. Exwelder urges others to consider therapy careers this is known as a discectomy and it can be done in several ways e.
Microdiscectomy is a spine surgery where a small portion of the bone over the nerve root or disc material from under the nerve root is removed to relieve neural impingement while providing more room for the nerve to heal. General anesthesia is used, and the procedure usually takes about one to two hours. If you have an office job and you undergo minimally invasive discectomy, you may be able to get back to work parttime. A microdiscectomy also called a microdecompression is usually more effective for relieving leg pain also known as radiculopathy, or sciatica than lower back pain. Microdiscectomy uses a magnifying instrument or special microscope to view the disc and nerves making it possible for the surgeon to remove herniated disc material through a. Exercise programme following lower back surgery the day after your surgery, you will be expected to start. The good news is that many patients have significant pain relief from a microdiscectomy and can quickly return to their normal lives, generally in less than 2 weeks. Given that rods were removed, i must assume that the fusion is solid.
My l5s1 microdiscectomy story postop day 3 duration. The focus here is specifically on the most commonly used surgical option for herniated discs. Faq microdiscectomy spine surgery herniated disc treatment. L5 s1 microdiscectomy surgery answers on healthtap. Analysis of 27 cases managed with transthoracic microdiscectomy, lateral extracavitary approach and arthropediculectomy. I found this site thru a search engine and amazed to find so many others enduring the pain on this issue. Microdiscectomy definition of microdiscectomy by the. A microdiscectomy is a specialized surgery that requires a surgeon with special training. Among the risk factors associated with recurrence, we observed a higher rate of disc height, higher percentage of spinal canal occupied by the hernia and presence of degenerative facet joint changes. What is a microdiscectomy for lumbar disc herniation, low back pain and leg pain. My question is thisis 3 weeks a reasonable amount of time after a microdiscectomy to be able to take a trip like this. How long will it take for me to recover and go back to school. The doctors wanted me to have a microdiscectomy surgery on my spine but i wasnt sure. How long does it take to recover from a l5s1 microdiscectomy.
This is my experience pre and post surgery from a microdiscectomy on an l5 s1 disc herniation. Factors associated with lumbar disc hernia recurrence. Press shift question mark to access a list of keyboard shortcuts. Getting my microdiscectomy for my l5 s1 herniated disc. Hello all, i am posting this request with the hope that a few of the veterans who are still around on the boards after having a l5 s1 discectomy performed can provide some valuable guidance. Transmuscular microdiscectomy minimally invasive 3. Microdiscectomy is a surgery that treats herniated lumbar disc. It removes part of the herniated disc in order to relieve pressure on spinal nerves.
But the orthopaedic surgeon is confident i will feel better in 3 weeks. Youre weightbearing orders are as instructed by your orthopedic surgeon who at the time did your operation in particular your. The new endoscopic discectomy technique allows us to treat a herniated disk more. Rhizolysis refers to decompression of the nerve root. Minimally invasive microdiscectomy for collapsed discs. Im just very worried about having general anesthesia.
Doctors give unbiased, helpful information on indications, contraindications, benefits, and complications. Even though most people return home the same day after surgery, microdiscectomy recovery time can take several months. Johns hopkins neurosurgeon, ali bydon, md, describes a minimally invasive lumbar discectomy procedure. A microdiscectomy at njso is performed using a new, minimally invasive technique developed by our expert staff to alleviate pain without cutting muscle. First, the back muscles, called erector spinae, are lifted off the bony arch, called the lamina. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration.
The minimallyinvasive procedure involves using a much smaller incision than openback procedures, and removes the disc material that is pushing against the nerve roots by way of a small tunnel and tiny instruments. Back to work after minimally invasive back surgery. Faq microdiscectomy spine surgery this article is about the most frequent issues and questions people have related to back surgery according to the comments, posts, and messages by our followers. This surgery is most typically performed to address a herniated disc in the lumbar spine which is causing leg pain. Microdiscectomy involves removing the part of a herniated disc in the spinal column that is irritating the spinal cord or a nerve root. How microdiscectomy surgery is performed spinehealth. This would be as if you are looking through my left side, anterior front on the left and posterior back on the right of the image, slightly different angles. Invention would then be required to make endoscopic discectomy a feasible and. Minimally invasive microdiscectomy is a frequently chosen alternative to the more invasive open discectomy. However, your doctor will advise you on how quickly you can return to exercise and your other daily activities. Increase volume decrease volume v seek forward seek backward a blog, 26yo. The difference between a bulging disc, herniated disc, ruptured disc, and degenerative disc disease duration.
I talked to my neurosurgeon and ive decided to have a microdiscectomy two weeks from today on march 4th. It is not unusual to have pain after this type of procedure. Because of this, it can be more expensive than other back surgeries. If you have a herniated disk, there is a good chance that you might need a lumbar microdiscectomy. Drilling through the sap in the direction of the disk is started with a 4mm disposable drill. Instead of creating a large surgical site that involves more damage to muscle and other tissue, a minimally invasive microdiscectomy is performed via a small incision or incisions through which a microscope and tiny instruments are passed. A retrospective analysis of the longterm outcomes of standard discectomy for lumbar disc herniation. Some of it has to do with my having mitral valve prolapse. A lumbar microdiscectomy is a procedure where a small part of the bone over the nerve root, or the disc material under a nerve root, is taken out. Intermuscular discectomy essentially all three of these procedures are intended to. Pdf objective the aim of this study was to evaluate the clinical and functional results of endoscopic lumbar discectomy in obese patients. Months later a emg revealed that i had permenent nerve damage caused not by the surgery but by the constant zapping of the sciatic nerve, presurgery. Analysis was focused on outcome in terms of pain relief and functional results, as well as on all.
The second surgery was a microdiscectomy with laminectomy and foraminotomy. Transpedicular approach for thoracic disc herniations ajcr. Lastly does anyone know how many weeks or months it will take me to fully recover and be able to play basketball, football, and other activities. To investigate the longterm outcomes of standard discectomy to address postoperative problems. Therefore, there are really no restrictions for you in a solidly fused lumbar spine. After surgery, my back felt for the longest time like it just wanted to give out from underneath my feet, and my left leg feels like someone is stabbing me in the thigh and it goes into my feet. Translate texts with the worlds best machine translation technology, developed by the creators of linguee. A lumbar microdiscectomy surgery is performed to remove the portion of a herniated disc that is irritating or inflaming the nerve root. Athletes of all levels are prone to getting injured to back injuries.
A microdiscectomy is performed through a small incision in the midline of the low back. I am 5 days postop a l5s1 microdiscectomy and i have read quite a bit of advise in a few posts. When may i resume my sports activities after my endoscopic discectomy. Jason eggers and physical therapist travis gunderson discuss microdiscectomy surgery and what a patient can expect during the rehabilitation process. Lumbar microdiscectomy is a surgical procedure in which a small portion of a vertebra is removed to free a nerve which is being pinched by a herniated disc. When it comes to heading back to work, the university of washington health says you may need to make plans to be off for two to six weeks, depending on the work you do.
Hi, i am 22 years old, soon to be 23, i had a l5s1 microdiscectomy about a year and a half ago, since then i havent had too much luck with recovery. Transmuscular lumbar surgery favoured recovery of lumbosacral proprioception 6 months. For leg pain, patients will normally feel pain relief almost immediately after a microdiscectomy. The medical terms used for this type of surgery are microdiscectomy and laminectomy. Back pain may not be treatable with lumbar microdiscectomy. Our njso team has taken microdiscectomy to the next level. For the right patient working with an experienced spine surgeon, it is considered a safe procedure with a high success rate.
Surgery went well and as promised, felt instant relief beyond normal surgery pain. A discectomy is the surgical removal of abnormal disc material that presses on a nerve root or the spinal cord. What exercises to do after a lumbar microdiscectomy. Our team of surgeons can repair most herniated disc and spinal bone spur problems through a small tube mm in size. I just had my second microdiscectomy after reherniating after my first. A microdiscectomy is a minimally invasive procedure performed on the lumbar spine to remove a piece of protruding disc that is compressing a nerve root. A microdiscectomy is performed through the back, so the patient lies face down on the operating table for the surgery. Look up words and phrases in comprehensive, reliable bilingual dictionaries and search through billions of online translations. Proprioceptive use and sittostandtosit after lumbar microdiscectomy.
1445 664 1007 961 1148 1467 1409 474 28 909 1305 143 1474 1071 8 1432 260 779 178 1428 167 1265 437 866 870 789 1359 1058 315 1516 310 1596 46 697 1057 1439 989 242 1462 1004 437 20 958 709 39 459 707