Did you know that over 95% of cases of slipped disc can be treated without surgery? Even if surgery is required, it can be performed in a minimally invasive way with neuromonitoring control and has a success rate of over 98%.
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What Is Sciatica?
When a patient comes to us with complaints of disc prolapse, low back pain, sciatica, numbness or weakness of legs, we first do a detailed clinical assessment. We listen to the patient's complaints to find out how long they've been experiencing symptoms, how often, and how it has affected their quality of life. We use the Oswestry Disability Index to formally calculate the patient's disability. We also do a detailed neurological examination to check for muscle weakness or numbness in the legs.
The first line of treatment is usually physiotherapy, exercises, medication, and lifestyle modification. However, some patients may require surgery for disc prolapse, and delaying surgery in these cases can be harmful.
Who needs surgery for lumbar disc prolapse?
Can spinal injection treat disc prolapse?
There are two kinds of spinal injections that can be given for disc prolapse:
What are the different types of surgeries for a slipped disc?
What is a slipped (prolapsed) disc?
The spinal column is made up of vertebrae stacked on top of each other, cushioned by discs that act as shock absorbers. Each disc has a soft inner portion (nucleus pulposus) and a tough outer ring (annulus fibrosus).
A slipped disc occurs when the disc loses its normal shape and consistency. This can happen when the nucleus bulges or leaks out of its annulus, resulting in terms like herniated, ruptured, torn, bulged, or protruding disc that are often used interchangeably.
What are the symptoms of a slipped disc?
A slipped disc can happen in any part of your spine, but it is more common in the lower back. The spinal column is a complicated network of nerves and blood vessels, and a slipped disc can cause extra pressure on these structures.
The following are symptoms of a slipped disc:
Different people may experience different types of pain. If your pain leads to numbness or tingling that affects your ability to control your muscles, see your doctor.
How does a slipped disc occur? What are the causes and risk factors of a slipped disc?
There are two common causes of a slipped or herniated disc:
The Importance of Getting a Correct Diagnosis for a Slipped Disc:
It's essential to get a proper diagnosis from a doctor when experiencing back or neck pain to determine if it's a slipped disc or something else. A correct diagnosis can rule out other causes of similar pain, like tumors, fractures, or infection. It can also help create a treatment plan that works best for you and prevents further damage to the spine or nerves.
When to Seek Medical Care for a Slipped Disc:
Consult with a doctor if the pain in the neck or back limits your daily activities or lasts for more than a few days. Seek emergency evaluation for severe symptoms like loss of bladder or bowel control, severe numbness or weakness of any extremity, and pain that prevents you from walking. Any injury that may cause significant back or neck problems, such as a fall or a direct blow to the spine, should be evaluated at the hospital's emergency department.
How Are Slipped Discs Diagnosed?
The doctor will begin with a physical examination to determine the source of pain and discomfort. They will check nerve function and muscle strength and ask about medical history and symptoms. Imaging tests can help view the bones, muscles, discs and nerves of the spine, such as X-rays and MRI scans.
Treatment of Slipped Disc
Slipped disc treatment can be conservative or surgical, depending on the severity of the pain and the extent of disc displacement. An exercise program that targets the back and surrounding muscles is often effective in alleviating pain. In addition, a physical therapist may recommend specific exercises to strengthen the back and relieve pain.
If non-prescription treatments are not effective, the doctor may prescribe stronger medication, such as muscle relaxants, analgesics, or nerve pain medications. Nerve root block may also be used.
For cases requiring spine surgery for lumbar disc prolapse, there are several practices that make the surgery safer. These include:
If your symptoms from a slipped disc persist for more than six weeks or if the condition is causing muscle dysfunction, your doctor may suggest surgery. In such cases, a microdiscectomy procedure may be performed, which involves the removal of the damaged or protruding part of the disc while leaving the rest intact.
Q: What is the outlook for someone with a slipped disc?
A: Most people with a slipped disc respond well to conservative treatment. Within six weeks, their pain and discomfort will gradually lessen.
Q: Is it possible to prevent a slipped disc?
A: It may not be possible to prevent a slipped disc, but there are steps you can take to lower your risk. These include using safe lifting techniques, maintaining a healthy weight, not sitting for long periods without stretching, and doing exercises to strengthen the muscles in your back, legs, and abdomen.