FAQ : DISC HERNIATION
What is Disc Herniation?
Disc Herniation is a common pathology in which a tear is created on the disc's hard dura, the tear allows the soft substance in the disc's center to break out into the spinal cannal. The Herniation can cause pressure on the nerves incharge of sensation and rough strength in the lower limbs and can cause neurological symptoms and pain. In extreme cases even lack of control of the sphincters. Disc Herniation mostly occurs in relatively young ages (the disc between the vertebras is still soft and can herniate).
What are the classic symptoms of Disc Herniation?
Lower back pains that project to a leg, in rare cases they project to both legs. The leg pain is usually stronger than the back pain. The leg pain can be accompanied by muscle weakness or loss of control of the sphincters (loss of control of urine and excrement).
Does Pelvic Disc Herniation necessarily require surgery?
No, most Disc Herniations can be treated with preventive procedures.
In which cases is a surgery needed?
In a case of new neurological deprivations (muscle weakness, loss of control of the sphincters).
In a case of pain that doesn't react to the preventive procedure for a period of no less than a month and a half of preventive procedures.
Which preventive procedures are recommended?
Anti inflammative pills
Anti pain pills
Alternative medicine- like Osteopathy and Acupuncture
Selective injection under screening.
Who is the surgery for?
The surgery is designed to relief the projecting pains from the back to the leg and is effective in reducing the pain in 90 percent of the cases. In cases of new neurological deprivations (limb weakness) it is designed to reduce the pressure from the nerve and to allow the nerve to recover faster and to increase the chances of the limb's strength returning to its proper state.
What is being done in the surgery?
The surgery is performed in a minimally invasive method, using a microscope made for spine surgeries and special soft tissue expanders that allow me to create a small 3-5 centimeter tear in the skin. Through this cut and the space between the vertebras (almost completely without damaging the back elements of the spine) I reach the herniated disc area. After recognizing all the anatomical structures (the dural sack and the passing root) I very gently cut only the herniated disc (not the disc that is between the vertebras). cutting the disc reduces the pressure on the nerve and gives it optimal chances of recovery).
What are the surgery's success rates?
There is a 90% success rate of reducing the projecting pain to the lower limbs. In a case of neural damage and limb weakness the surgery improves the chances of the nerve's recovery. After the surgery physiotherapy to strengthen the body is required. The surgery does not promise that the weakness in the leg or the sensation of falling asleep will improve.
What are the risks of the surgery?
he surgery's risks are relatively small and they include amongst others:
Cerebrospinal fluid leak- 8%, a reversible complication- it is possible to stitch the rip in the sack if one appeared or to glue it with biological glue.
Infections- 1%, a reversible complication, antibiotics can be prescribed to eradicate the infection.
Neurological damage- limb weakness or lack of control of the sphincters- less than 1%.
Damage to the big blood vessels - less than 1%.
Deep venous thrombosis or pulmonary embolism- less than 1%.
How long does the surgery take?
For one Disc Herniation an hour to an hour and a half.
What are the chances of another Disc Herniation in the height that was operated?
Due to the damage to the wholeness of the disc's dura there is a chance of another Disc Herniation. The chances are between 5-15 percent.
How many hospitalization days after the surgery?
One day of hospitalization. After it the patient is released home.
Is there any need to stay in bed after the surgery?
You cannot get out of bed and start walking right after the surgery.
Is there any need for a back brace after the surgery?
Usually there is no need for a back brace after the surgery, in rare cases I would recommend wearing a soft back brace for a month and a half.
What is the size of the surgical scar?
Is there any need for stitch removal?
No, I use dissolvable stitches.
Can I go back to participate in any activity I want after the healing period?
Yes, usually you can go back to doing any physical activity you want. It is best to avoid if possible physical activities that involve stamping your foot on the ground- like running.
How long will I be missing from work?
You can go back to an office job after a week. For a physical job it is recommended to rest up to a month and a half.