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Surgery For A Herniated Disc – What To Consider Before Deciding On Surgery
Back
Surgery For A Herniated Disc can be a very ominous thing to consider,
especially because of all the conflicting information available. There
are definitely some times where surgery for a herniated disc is
necessary, but many times, this is not the case.
In
fact, most of the research available today tells us that the success
rate of bulging disc neurosurgery is very low, and rarely provides
lasting 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 cover that, we need to discuss what a
bulging disc is.
The
spinal discs are cushions that separate each set of bones in the back.
Their primary purpose 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 nerves of the
spine 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
result in a great deal of pain and disability.
In
fact, an interesting fact about the spinal discs that you may not know
is that they are not able to feel pain sensations. This may sound crazy
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
feel pain, because they are absorbing shock all the time. If they could
feel 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
significant 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 working 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 an individual 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 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 bulging disc neurosurgery
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 situations that actually call for 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 circumstance that usually requires surgery is when an individual
begins to have 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 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 discuss the different types of bulging disc
neurosurgery commonly utilized 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 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 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 part 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
findings in this field, but at this point in time, these types of
surgery are not as commonly utilized. 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 very
low, 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
individuals 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 bulging
disc neurosurgery, and would like to know more about the combination of
therapies that are most effective for healing a bulging disc, you can
click here (surgery for a herniated disc) to get all the details.
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