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Disc Back Surgery – When To Choose Surgery, And When To Choose Other Options
Herniated
Disc Back Surgery can be a very ominous thing to consider, particularly
because of all the conflicting information you will find. There are
definitely some times where bulging disc neurosurgery is necessary, but
many times, this is not the case.
In
fact, most of the research available today indicates that the success
rate of disc back surgery is not very good, and rarely provides
long-term 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 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 primary function 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 outer covering 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 condition is that the spinal nerves
are located directly behind each disc of the spine, 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 cause a great
deal of disability and pain.
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 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 day. 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
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 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 condition 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 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 bulging disc 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 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 right away.
The
other situation that often requires surgery is when a person begins to
experience 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 starting to fall asleep. This is also a very serious sign.
One
thing I need to say about that second situation, 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 experiencing 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. 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 forms 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 movement, 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
findings 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 promise
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 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 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 disc back
surgery, 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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