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Herniated Disc Spine Surgery - Types Of Surgery And Alternatives
Bulging
Disc Neurosurgery can be a very ominous thing to consider, particularly
because of all the conflicting information you will find. There are
definitely some instances where bulging disc surgery is necessary, but
more often than not, this is not the case.
In
fact, most of the research available today indicates that the success
rate of bulging disc neurosurgery is not very good, and rarely results
in long-term relief (in most cases, the pain comes back within 5
years).
This
article will discuss the different options available for bulging disc
neurosurgery, but before we discuss that, we need to talk about what a
herniated disc is.
The
spinal discs are cushions that separate each set of bones in the back.
Their main function is to act as shock-absorbers, protecting the bones
of the spine 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 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 condition is that the nerves of the
spine are located right behind each disc of the spine, 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 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 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 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
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
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
immediately. 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 an indication 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 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 bulging disc
neurosurgery 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
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 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 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 point 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 bulging disc neurosurgery
– 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 alternatives 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 bulging
disc neurosurgery, and would like to know more about the combination of
treatments that are most effective for healing a herniated disc, you
can click here (surgery for a herniated disc) to get all the details.
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