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Herniated Disc Surgery - Types Of Surgery And Alternatives
Surgery For
A Herniated Disc can be a very ominous thing to consider, especially
because of all the conflicting information you will find. There are
definitely some instances where herniated 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 surgery for a herniated disc is not very good, and rarely
provides lasting relief (in most cases, the pain comes back within 5
years).
This
article will discuss the different options available for surgery for a
herniated disc, but before we discuss that, we need to discuss what a
herniated disc is.
The
discs of the spine are cushions that separate each set of vertebrae in
the back. 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 herniated disc,
the annulus 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 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 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 feel pain sensations. This may sound
odd 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
feel pain, because they are absorbing shock all day. If they could feel
pain, you would be in pain all day long, 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
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 body part being controlled by that nerve to stop
functioning normally.
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 an individual 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 an individual literally drops to their knees
because they’ve lost so much strength in their legs.
Now,
before we discuss 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 tell if surgery is their only option, and there is.
There
are only a couple of circumstances 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 immediately.
The
other situation that usually requires surgery is when an individual
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 beginning to fall asleep. This is also a very serious
sign.
One
thing I should 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 discuss the different types of surgery for a herniated
disc 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 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 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 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
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 promise
in this field, but they really haven’t perfected this
technology yet.
So,
here’s the bottom line with surgery for a herniated disc
– 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
lasting results.
I’ve
actually found that it’s a combination of treatments that
lead to the best results. If you are interested in avoiding surgery for
a herniated disc, and would like to know more about the combination of
treatments that are most effective for healing a herniated disc, you
can click here (herniated disc spine surgery) to get all the details.
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