Your doctor might recommend surgery as an option for your herniated disc if: Your symptoms have lasted at least 6 weeks and make it hard to do your normal activities, and other treatments haven't helped. You need to get better quickly because of your job or to get back to your other activities as soon as possible.
According to research cited by Harvard Health, about 10 percent of patients with herniated disc issues require surgery after six weeks. Similar research suggests that 90 percent of the time, surgery is not necessary for a herniated disc.
Long-term treatment usually involves a self-directed exercise program that you start with a physical therapist and then transition to doing at home. If your bulging discs have caused lumbar stenosis and the symptoms are affecting your quality of life, surgery (called lumbar decompression) is an option.
Seek emergency medical attention if you have: Worsening symptoms. Pain, numbness or weakness can increase to the point that they hamper your daily activities. Bladder or bowel dysfunction.
The success rate for disc surgery is about 90 percent, but even so, he considers it only if symptoms persist for more than 6 weeks.
Microdiscectomy is a surgical procedure for the relief of pain and other symptoms that occur when a herniated disc in the spine presses on an adjacent nerve root. During the operation, the surgeon frees the nerve by removing small fragments of disc, bone and ligament.
Recovery process and timeline
Typically, most people can go home 24 hours after a herniated disc operation. Some may even be able to go home the same day.
Bladder incontinence can occur because of a bulging disc compressing the nerves that control the bladder. In this case, seek emergency medical help immediately. Upper back pain radiating to the stomach or chest may be a symptom of a mid-spine bulging disc. Muscle spasms may also occur with any bulging disc.
If a bulging disc is untreated, the symptoms will become worse as the constant pressure on the nerve intensifies the sensations. This can also cause issues with walking, and even while holding objects, as the pressure impedes the ability of the nerves to transmit information properly.
There are four stages: (1) disc protrusion (2) prolapsed disc (3) disc extrusion (4) sequestered disc.
You'll be encouraged to walk and move around the day after surgery and it's likely you'll be discharged 1 to 4 days afterwards. It will take about 4 to 6 weeks for you to reach your expected level of mobility and function (this will depend on the severity of your condition and symptoms before the operation).
For most people with a bulging disc, there won't be any long-term consequences besides possible chronic pain. However, there can be permanent damage to the nerves if a severe case of a bulging disc is left completely untreated.
As mentioned, we cannot fix a herniated disk. We cannot go back in time and we don't have a process to actually inject a new cartilage in a cell to grow your disk back to normal. Very much like a tire on your car, it's going to continue to wear out.
The tough fibrous outer wall of the disc may weaken. The gel-like nucleus may bulge or rupture through a tear in the disc wall, causing pain when it touches a nerve. Genetics, smoking, and a number of occupational and recreational activities may lead to early disc degeneration.
Microdiscectomy Procedures for a Lumbar Herniated Disc
Two minimally invasive procedures, microdiscectomy and endoscopic microdiscectomy, are most commonly recommended for lumbar herniated discs. These procedures take the pressure off the nerve root and provide a better healing environment for the disc.
Yes! Chiropractic care is the preferred treatment method for many patients suffering from a bulging disc. It is non-invasive and does not require drugs or injections of any kind. Chiropractic can help provide you with improved mobility, decreased pain, and overall better quality of life.
Disks show signs of wear and tear with age. Over time, disks dehydrate and their cartilage stiffens. These changes can cause the outer layer of the disk to bulge out fairly evenly all the way around its circumference — so it looks a little like a hamburger that's too big for its bun.
Most importantly, an L4-L5 disc bulge can lead to prolonged pain and other, more serious conditions like spondylolisthesis if you delay treatment. Spondylolisthesis is a condition in which a vertebra shifts or slips, and can cause significant pain that may require surgery to fix.
MRI scan is the best non-invasive test available to find herniated and bulging discs and annular tears. Because the spatial resolution of spinal anatomy can be defined to 0.5mm with an MRI scan, doctors can identify with over 95% accuracy the herniated discs in the spine.
L5-S1 Disc Bulge Symptoms
This process is absolutely normal and is a part of aging and happens with everyone. L5-S1 bulging discs are most common as they take the stress and weight of the body. The symptoms experienced in the lower back can be terribly painful.
No bending, lifting, or twisting whatsoever should be attempted for two weeks after your discectomy surgery, because this can hinder your recovery and increase your risk of reherniation.
Skip movements that involve significant axial loading on the lower back, such as squats and leg presses. Avoid toe-touches, sit-ups, and yoga poses that worsen the pain and lead to significant bending of the back.
Flexion Based Movements
This typically causes the disc herniation to put extra pressure on surrounding tissues, causing increased muscle spasms and potential nerve symptoms. Flexion based activities include bending down to pick something up, traditional biking, sit ups, toe touches, and deep squats.