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Back Disc Surgery – Things To Consider Before Deciding On Surgery
Back
Surgery For A Herniated Disc can be a very scary thing to consider,
particularly because of all the conflicting information you will find.
There are definitely some instances where herniated disc spine surgery
is necessary, but more often than not, this is not the case.
In
fact, most of the research available today tells us that the success
rate of back surgery for a herniated disc is not very good, and rarely
provides long-term relief (in most cases, the pain comes back within 5
years).
This
article will cover the different options available for back surgery for
a herniated disc, but before we discuss that, we need to discuss what a
herniated disc is.
The
discs of the spine are cushions that separate each set of vertebrae in
the back. Their primary purpose is to act as shock-absorbers,
protecting the bones of the spine from excessive wear and tear with
motion.
Each
disc is made up of a strong outer covering called the annulus, and a
soft jelly center called the nucleus. In the case of a herniated disc,
the annulus becomes weak and tears. This leads to the jelly to shift
from the center of the disc into the area of weakness, which causes the
disc to bulge.
The
most serious complication of this condition is that the nerves of the
spine are located directly behind each spinal disc, which is where the
disc will tend to bulge if it is damaged. Because of this, the
herniated disc will tend to apply pressure on a nerve, which can result
in a great deal of pain and disability.
In
fact, an interesting fact about the discs of the spine that you may not
know is that they are not able to feel pain sensations. This may sound
crazy to you at first, because as you know, this can be a very painful
condition to live with.
But
if you think about it, it makes sense that a disc wouldn’t
feel pain, because they are absorbing shock all day. If they could feel
pain, you would be hurting all the time, with every movement you make!
So,
what actually causes the pain in the case of a herniated disc?
It’s actually the pressure on the affected nerve. Even more
significant than the pain, though, is the other parts of the body that
can be affected by this condition.
Because
the nerves of the spine control everything in the body, pressure on a
nerve will cause the body part being controlled by that nerve to stop
working normally.
A
good example of this would be a herniated disc in the lower back. The
nerves that would be affected here control the legs, so it’s
very common for an individual with this condition to experience pain
traveling down the legs, as well as weakness in the legs.
I’ve
even seen cases where the pressure on the nerves in the low back
becomes so intense that an individual literally drops to their knees
because they’ve lost so much strength in their legs.
Now,
before we discuss the different types of surgery for a herniated disc
available, let me just say one thing, because people often ask if there
is a way for them to tell if surgery is their only option, and there is.
There
are only a couple of situations that actually require surgery right
away. The first is if you have a herniated disc in your low back, and
you are losing control of your bowel and/or bladder. This is very
serious and usually calls for surgery right away.
The
other circumstance that usually requires surgery is when an individual
begins to experience weakness in the extremities (either the arms or
legs). This is an indication that the nerves have enough pressure on
them that they are beginning to fall asleep. This is also a very
serious sign.
One
thing I should say about that second circumstance, though, is that the
weakness I’m referring to is an objective weakness that a
doctor can only find through a proper examination. You may feel like
you are having weakness, but unless it shows up on the exam, it may not
be serious enough to consider surgery.
In
other words, your doctor is the only one who will know if you have a
true weakness that calls for surgery.
Now
let’s discuss the different types of back surgery for a
herniated disc commonly utilized today. Even though there is a lot of
new research in this field, the two most commonly used forms of surgery
involve either removing the bulging part of the disc to remove the
pressure from the nerve, or removing the entire disc and fusing the
vertebrae above and below the disc together.
With
both of these types of surgery, the success rate is very low
– only about 16% according to the medical journal Spine.
Also, these often lead to other complications in the future. With a
fusion, the joints above and below the fusion have to work extra hard
to make up for the lack of motion, so those joints tend to wear out
more quickly, and the problem will eventually spread throughout the
back.
In
the case of a disc resection, where they remove the portion of the disc
that is bulging, the condition usually comes back within 5 years,
because if you are removing a part of the disc, it creates a weakness
in the disc, and also causes scar tissue to develop over time.
Many
people ask me about disc replacement back surgery, and other recent
discoveries in this field, but at this moment in time, these forms of
surgery are not as commonly utilized. I believe there is a lot of
promise in this field, but they really haven’t perfected this
technology yet.
So,
here’s the bottom line with back surgery for a herniated disc
– always view this as a last resort. The success rate is not
very good, and unless you fit into one of the categories that
absolutely calls for surgery, you should try everything else available
first.
So,
what other options do you have? After working with thousands of
individuals with this condition, I have actually found that there are a
number of treatments that are very helpful, and can truly provide
long-term results.
I’ve
actually found that it’s a combination of treatments that
provide the best results. If you are interested in avoiding back
surgery for a herniated disc, and would like to know more about the
combination of treatments that are most effective for healing a
herniated disc, you can click here (disc back surgery) to get all the
details.
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