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Disc Back Surgery - Types Of Surgery And Alternatives
Surgery For
A Herniated Disc can be a very scary thing to consider, especially
because of all the conflicting information available. There are
definitely some times where disc back surgery is required, but many
times, this is not the case.
In
fact, much of the research available today tells us that the success
rate of disc back surgery is not very good, 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 disc back
surgery, but before we discuss that, we need to talk about what a
herniated disc is.
The
discs of the spine are cushions that separate each set of vertebrae in
the back. Their main function is to act as shock-absorbers, protecting
the bones of the spine from excessive wear and tear with motion.
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 herniated disc,
the annulus becomes weak 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 problem 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 injured. Because of this, the
herniated disc will tend to apply pressure on a nerve, which can cause
a great deal of pain and disability.
In
fact, an interesting fact about the discs of the spine 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 problem 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 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 body parts that can be
affected by this problem.
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
functioning like it’s supposed to.
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 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 talk about the different types of herniated disc spine
surgery available, let me just say one thing, because people often ask
if there is a way for them to know if surgery is their only option, and
there is.
There
are only a couple of situations that actually call for 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 requires surgery right away.
The
other circumstance that usually 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 so much pressure on them
that they are starting 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
physician 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 physician 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 disc back surgery
commonly used today. Even though 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 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 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 loss 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 part of the disc
that is bulging, the problem 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 types of
surgery are not as commonly used. 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 disc back surgery –
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 requires
surgery, you should try everything else available first.
So,
what other alternatives do you have? After working with thousands of
patients with this problem, 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 disc back
surgery, and would like to know more about the combination of
treatments that are most effective for healing a herniated disc, you
can click here (bulging disc surgery) to get all the details.
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