When is surgery needed for herniated disc?

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.

Do I need surgery for a herniated disc?

Fortunately, the majority of herniated discs do not require surgery. With time, the symptoms of sciatica/radiculopathy improve in approximately 9 out of 10 people. The time to improve varies, ranging from a few days to a few weeks. Limit activities for 2 to 3 days.

What percentage of disc herniations need surgery?

In many cases, patients with back pain, leg pain, or weakness of the lower extremity muscles are often diagnosed with a herniated disc (also called a slipped disc).

What is the success rate of herniated disc surgery?

According to one study, the success rate for a herniated lumbar disc surgery was 78.9% among 39,048 patients. This same study reported a 94% long-term success rate for patients undergoing herniated cervical disc surgery.

When is a herniated disc an emergency?

The severe case of a herniated disk is a medical emergency because of intolerable pain and discomfort. Some of its symptoms include lower back pain, sharp leg or arm pain, loss of bladder or bowel control and numbness, weakness or tingling sensation in the foot and/or leg.

Does a Herniated Disc Require Surgery?

What happens if you let a herniated disc go untreated?

Nerve Damage

When a herniated disc puts significant pressure on a nerve, it can lead to significant damage by cutting off nerve impulses. Compressed nerves can lead to significant conditions, including loss of sensation in lower extremities or even loss of bowel control.

Can a herniated disc paralyze you?

With a herniated disc, the capsule cracks or breaks, and the nucleus squeezes out. This can irritate the spinal cord or nearby nerves, causing weakness and numbness in the arms or legs. A severely herniated disc can cause paralysis.

Is surgery a last resort for herniated disc?

Most herniated discs do not require surgery and typically improve with time. Surgery is therefore a last resort treatment after other options like oral steroids, anti-inflammatories, physical therapy, and even corticosteroid injections may have proven ineffective.

How do I know if I need back surgery?

Back surgery might be an option if conservative treatments haven't worked and your pain is persistent and disabling. Back surgery often more predictably relieves associated pain or numbness that goes down one or both arms or legs. These symptoms often are caused by compressed nerves in your spine.

Can a chiropractor fix a herniated disc?

Nine out of ten individuals with a herniated disc can heal their condition through non-invasive procedures. If you want to explore conservative options for recovery, chiropractic care is an excellent place to start. A chiropractor can help you heal naturally and relieve your pain.

Is a 6 mm disc herniation big?

From our study results, the patients with disc herniation length of L4–5 larger than 6.31 mm could be considered as candidates for surgical treatment, whereas those with disc herniation length less than 6.23 mm could be treated with nerve blocks.

Can life be normal after herniated disc?

If the disc is lower in your back, it may irritate your sciatic nerve, which can cause pain that radiates through your buttock and down your leg. The good news is that in most cases — 90% of the time — pain caused by a herniated disc will go away on its own within six months.

Is walking good for herniated disc?

Absolutely. Walking is an excellent choice for patients with herniated discs, as it stimulates blood flow and oxygen to the cells. It also helps keep your discs hydrated, which is important for healing. Other low-impact aerobic activities to try are swimming and cycling.

Is a herniated disc serious?

A herniated disc is a common spinal disorder, and it typically responds well to conservative treatment like gentle exercise or over-the-counter pain medication. But some ruptured disc symptoms warrant a trip to your doctor to prevent serious—and potentially permanent—nerve complications.

What can make a herniated disc worse?

The pain from a herniated disc usually is worse when you are active and gets better when you are resting. Coughing, sneezing, sitting, driving, and bending forward may make the pain worse. The pain gets worse when you make these movements because there is more pressure on the nerve.

How long is hospital stay after discectomy?

Most lumbar microdiscectomy patients are able to go home from the hospital a few hours after the surgery. The traditional approach to recovering from lumbar microdiscectomy has been to limit bending, lifting, or twisting for a minimum of 6 weeks in order to prevent the disc from herniating again.

Why you should avoid back surgery?

If things go south, some of the potential complications of back surgery can include an adverse reaction to anesthesia, bleeding, infection, deadly blood clots that can circulate to the heart or lungs, heart attack, stroke, and nerve damage.

When does a pinched nerve need surgery?

Surgery. If the pinched nerve doesn't improve after several weeks to a few months with conservative treatments, your doctor may recommend surgery to take pressure off the nerve. The type of surgery varies depending on the location of the pinched nerve.

How do you know if you need spinal fusion?

If a patient's low back pain and other symptoms do not improve with extensive conservative (nonsurgical) treatment and other causes of low back pain have been ruled out, then he or she may be considered for a spine fusion surgery.

What does a neurosurgeon do for herniated disc?

An incision is placed in the lower back over the area where the disc is herniated. Some bone from the back of the spine may be removed to gain access to the area where the disc is located. Typically, the herniated part of the disc and any extra loose pieces of disc are removed from the disc space.

How long is recovery from herniated disc surgery?

Recovery time for lumbar herniated disc surgery varies from one to four weeks based on the extent of a patient's lumbar disc herniation, the patient's overall health, and the patient's compliance with post-surgical instructions.

Is herniated disc surgery painful?

Is a microdiscectomy painful? Following surgery, most patients do well with a small amount of non-opioid pain medication and a drug that relaxes the muscles. While there is some discomfort associated with the surgical incision, many patients experience rapid relief of the pain caused by the herniated disc.

What is worse bulging or herniated disc?

Herniated discs are considered more severe than bulging discs because they put significant pressure on nearby nerves, which can cause intense pain, inflammation and difficulties with movement.

How do you know if you have nerve damage from a herniated disc?

Because a herniated disc impacts nerves, the most common symptoms are pain that radiates into the extremities, down to the fingers or toes. Depending on where the herniated disc sits, either the upper or lower body can be impacted.

How long does it take for a herniated disc to cause permanent nerve damage?

Damage to these nerves can be permanent if not treated quickly – within a day or so. This would mean that the person loses control of their bowel or bladder permanently! This problem should be seen within 24 hours by a spine surgeon.