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Surgery For A Herniated Disc – Surgical Options And Alternatives
Back
Surgery For A Herniated Disc 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 neurosurgery 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 spine surgery is very low, 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 herniated disc
spine surgery, but before we cover that, we need to discuss what a
bulging disc is.
The
discs of the spine are cushions that separate each set of vertebrae in
the back. Their primary function is to act as shock-absorbers,
protecting the bones of the spine from excessive wear and tear with
motion.
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 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 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 pain and disability.
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
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
feel pain, because they are absorbing shock all day. If they could feel
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 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 normally.
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
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 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 herniated disc back 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 situations that actually call for 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 right away.
The
other situation that usually requires surgery is when a person 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 situation, though, is that the
weakness I’m referring to is an objective weakness that a
doctor 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 doctor 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 spine
surgery 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 lead to 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 ultimately spread throughout the
spine.
In
the case of a disc resection, where they remove the portion of the disc
that is bulging, 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 moment 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 herniated disc spine surgery
– 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 options 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 herniated
disc spine 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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