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Back Surgery For A Herniated Disc – Types Of Surgery And Alternatives
Herniated
Disc Surgery can be a very ominous thing to consider, especially
because of all the conflicting information you will find. There are
definitely some times where back disc 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 surgery for a herniated disc is not very good, and rarely
provides long-term relief (in most cases, the pain returns within 5
years).
This
article will cover the different options available for surgery for a
herniated disc, but before we cover that, we need to discuss what a
bulging disc is.
The
spinal discs are cushions that separate each set of vertebrae in the
back. Their main function is to act as shock-absorbers, protecting the
vertebrae 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 bulging disc,
the outer covering is damaged and tears. This causes 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 spinal nerves
are located right behind each spinal disc, which is where the disc will
tend to bulge if it is damaged. Because of this, the bulging disc will
tend to apply pressure on a nerve, which can result in a great deal of
disability and pain.
In
fact, an interesting fact about the spinal discs that you may not be
aware of is that they are not able to experience 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
experience pain, because they are absorbing shock all the time. If they
could experience pain, you would be hurting all the time, with every
movement you make!
So,
what actually causes the pain in the case of a bulging disc?
It’s actually the pressure on the affected nerve. Even more
important than the pain, though, is the other body parts that can be
affected by this condition.
Because
the spinal nerves control everything in the body, pressure on a nerve
will cause the body part being controlled by that nerve to stop
functioning normally.
A
good example of this would be a bulging disc in the lower back. The
nerves that would be affected here control the legs, so it’s
very common for a person with this health problem 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 a person literally drops to their knees because
they’ve lost so much strength in their legs.
Now,
before we discuss the different types of disc back surgery 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 bulging disc in your low back, and you
are losing control of your bowel and/or bladder. This is very serious
and usually requires surgery right away.
The
other situation that usually requires surgery is when a person begins
to have weakness in the extremities (either the arms or legs). This is
an indication that the nerves have so much 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 situation, 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 experiencing 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 requires surgery.
Now
let’s discuss the different types of surgery for a herniated
disc commonly used today. Although 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 forms 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 loss of motion, so those joints tend to wear out
more quickly, and the problem will eventually spread throughout the
spine.
In
the case of a disc resection, where they remove the portion of the disc
that is bulging, the problem usually returns 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
findings in this field, but at this point in time, these forms of
surgery are not as commonly used. 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 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 situations that
absolutely requires surgery, you should try everything else available
first.
So,
what other options are available? After working with thousands of
patients with this condition, I have actually found that there are a
number of treatments that are very helpful, and can truly lead to
long-term results.
I’ve
actually found that it’s a combination of treatments that
lead to the best results. If you are interested in avoiding surgery for
a herniated disc, and would like to know more about the combination of
treatments that are most effective for healing a bulging disc, you can
click here (herniated disc surgery) to get all the details.
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