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Bulging Disc Neurosurgery – Types Of Surgery And Alternatives
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 bulging disc surgery is required, but
many times, this is not the case.
In
fact, much of the research available today indicates that the success
rate of bulging disc surgery is very low, and rarely results in lasting
relief (in most cases, the pain comes back within 5 years).
This
article will discuss the different options available for bulging disc
surgery, but before we cover that, we need to talk about what a bulging
disc is.
The
discs of the spine are cushions that separate each set of bones in the
back. Their main purpose is to act as shock-absorbers, protecting the
vertebrae from excessive wear and tear with movement.
Each
disc is composed of a strong outer covering called the annulus, and a
soft jelly center called the nucleus. In the case of a bulging disc,
the annulus is damaged 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 bulging
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 experience pain sensations. This may
sound odd to you at first, because as you know, this can be a very
painful condition to deal 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 in pain 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
significant than the pain, though, is the other body parts 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 like it’s supposed to.
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
radiating 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 strong that a person literally drops to their knees because
they’ve lost so much strength in their legs.
Now,
before we talk about 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 circumstances 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 immediately.
The
other circumstance that often requires surgery is when a person begins
to experience weakness in the extremities (either the arms or legs).
This is a sign 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 requires surgery.
Now
let’s talk about the different types of bulging disc surgery
commonly utilized today. Although there is a lot of new research in
this field, the two most commonly used types 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 bones 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 result in 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 movement, 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 herniating, 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
findings in this field, but at this point in time, these types of
surgery are not as commonly utilized. I believe there is a lot of
potential in this field, but they really haven’t perfected
this technology yet.
So,
here’s the bottom line with bulging disc surgery –
always view this as a last resort. The success rate is very low, 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
individuals with this condition, I have actually found that there are a
number of treatments that are very helpful, and can truly provide
lasting results.
I’ve
actually found that it’s a combination of treatments that
provide the best results. If you are interested in avoiding bulging
disc surgery, and would like to know more about the combination of
therapies that are most effective for healing a bulging disc, you can
click here (surgery for a herniated disc) to get all the details.
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