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Herniated Disc Back Surgery – What To Consider Before Making A Decision
Bulging
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 bulging disc 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 herniated disc surgery is very low, and rarely provides
long-term relief (in most cases, the pain returns within 5 years).
This
article will discuss the different options available for herniated disc
surgery, but before we discuss that, we need to discuss what a bulging
disc is.
The
spinal discs are cushions that separate each set of bones in the spine.
Their main 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 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 nerves of the
spine are located right behind each spinal disc, which is where the
disc will tend to bulge if it is injured. 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 spinal discs that you may not be
aware of 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 day. If they
could experience pain, you would be hurting all day long, 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 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 part of the body 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 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 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 back 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
immediately. 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 situation that often requires surgery is when a person begins to
have 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 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 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 discuss the different types of herniated disc surgery
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 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 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 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 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 herniated disc surgery
– always view this as a last resort. The success rate is very
low, and unless you fit into one of the categories that absolutely
requires surgery, you should try everything else available first.
So,
what other options do you have? 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 herniated
disc 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 (back disc surgery) to get all the details.
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