When should you have disc surgery?

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.
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How do you know when it's time for spine surgery?

“If you have severe, unrelenting pain and neurological symptoms like foot drop, or a serious problem such as a spinal cord injury, your surgeon may not want to wait long,” Lehman says. If you have any doubts about whether you need surgery at any point, seek a second opinion, he says.
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What percentage of herniated discs require 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).
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Is surgery always necessary for herniated disc?

While it is not always necessary, some people may require herniated disc surgery to alleviate pain and other symptoms. The type of surgery a person has depends on several factors. These include the location of the herniated disc, the severity of the pain, and the disability it causes.
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Is bulging disc surgery worth it?

But disc surgery is faster and works better for bad pain, a large U.S. study finds. The study shows that patients with a "slipped" or "ruptured" disc -- what doctors call a herniated disc --won't get worse or become paralyzed if they don't have surgery. Instead, they can expect to get better over time.
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When To Have Spinal Surgery For A Herniated Disc – London Neurosurgeon Mr Dan Plev Explains.



Is L4-L5 disc bulge serious?

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.
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What happens if a herniated disc goes 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.
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When is 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.
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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.
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What is considered a large disc herniation?

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.
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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.
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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.
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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.
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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.
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What spinal conditions require surgery?

However, spinal deformity, spinal infections, trauma, spine tumors and some degenerative spine conditions, such as stenosis and herniated disks, may require surgical treatment. For the best outcome, it makes sense to consult a spine surgery team with plenty of experience.
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When Is back pain an emergency?

For back problems, the red-flag symptoms and signs that may indicate an emergency typically start suddenly and include some combination of the following: Sudden loss of sensation in one or both legs, the groin and genital area, and/or the anal region. Inability to walk or stand. Inability to control bowel movements.
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Can a herniated disc get worse?

An untreated herniated disk can get worse. That's especially true if you continue the activities that caused it — for instance, if it developed because of your work. A worsening ruptured disk may cause chronic (ongoing) pain and loss of control or sensation in the affected area.
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What percentage of back surgeries are successful?

One study estimated the success rate for back surgeries to be about 50%. This estimate is conservative, as most success rates depend on a wide variety of factors. Your health, specific surgery, source of pain and any surgery complications influence whether or not your procedure will be effective.
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Is there an age limit for back surgery?

Conclusions: Elective spinal surgery in patients older than 90 years of age does not reduce life expectancy and has a good functional outcome for well-selected patients, whereas emergency surgery and stabilization surgery in this age group are associated with a high rate of complications and higher mortality.
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How do you know if a disc has ruptured?

Severe low back pain on its own may be a symptom of a ruptured disc, but it can also be caused by strains or sprains of muscles, tendons, and ligaments. However, low back pain combined with shooting pain down the back of one or both legs (sciatica) usually points to a herniated or ruptured disc.
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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.
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What is the difference between a herniated disc and a ruptured disc?

Herniated disks are also called ruptured disks or slipped disks, although the whole disk does not rupture or slip. Only the small area of the crack is affected. Compared with a bulging disk, a herniated disk is more likely to cause pain because it generally protrudes farther and is more likely to irritate nerve roots.
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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.
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Can a chiropractor fix 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.
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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.
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