Article 17 – Surgical and Non-Surgical Treatment For Herniated Disc

Many patients with back pain, leg pain, or weakness of the lower extremity muscles are diagnosed with a herniated disc.

Treatment of a herniated disc depends on a number of factors including:

o Symptoms experienced by the patient

o Age of the patient

o Activity level of the patient

o Presence of worsening symptoms

Non Surgical Treatment :

If after non-surgical treatment the patient still has intolerable pain, or if there is evidence of neurological deficit (e.g. weakness in the calf muscles) then we may recommend surgery to treat the disc herniation. Non-surgical treatments can include the use of electrical stimulation, pain medication, cold and hot compresses, a decrease in the activity that typically causes pain, acupuncture, and visits to a chiropractor. Some of the more common surgical procedures are called laminotomy, laminectomy, discectomy, and micro discectomy.

Surgical Treatment :

Nucleoplasty is a newly developed procedure designed to decompress herniated discs. It is sometimes referred to by the name percutaneous discectomy. This procedure is minimally invasive, using a super thin catheter to gain access to the bulging disc.

Spine fusion is rarely necessary when a disc is herniated for the first time. If necessary, the space left by the removed disc may be filled with a bone graft – a small piece of bone usually taken from the patient’s hip. The bone graft or a bone substitute is used to join or fuse the vertebrae together. In some cases, specially designed instrumentation (such as rods or screws) may be used to help promote fusion and to add stability to the spine.

The cost of treatment is much less and very safe compared to others with high success rate.

Source by Pankaj R Nagpal

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