Our Summary

This research paper examines how poor mental health affects the results of a specific type of back surgery (microdiscectomy). The researchers looked at over 200 patients who had this surgery between 2014 and 2021. Patients were classified as having either worse or better mental health, using a certain score threshold.

The researchers found that both groups (worse and better mental health) showed improvements in their reported outcomes after surgery. However, those with worse mental health had lower scores on physical and mental health surveys both before and after surgery. They also reported higher disability scores three months after surgery.

Despite this, there was no difference in rates of re-admission or further surgery within a year between the two groups. In essence, the study suggests that while poor mental health can affect a patient’s perception of their health before and after this type of back surgery, it does not affect the actual surgical outcomes or the need for additional treatment.

FAQs

  1. Does poor mental health affect the outcome of a microdiscectomy?
  2. Is there a difference in re-admission rates or need for further surgery for patients with worse mental health after microdiscectomy?
  3. How does mental health status affect the perception of health before and after a microdiscectomy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about microdiscectomy is to prioritize their mental health before and after the surgery. This can include seeking support from a therapist or counselor, practicing stress-reducing techniques such as mindfulness or meditation, and staying connected with loved ones for emotional support. Taking care of your mental health can help improve overall outcomes and recovery from the surgery.

Suitable For

Typically, patients who are recommended microdiscectomy are those who suffer from a herniated disc in the lumbar region of the spine that is causing symptoms such as severe back pain, leg pain, numbness, or weakness. These symptoms may be due to pressure on the spinal nerves caused by the herniated disc. Patients who have tried conservative treatments such as physical therapy, medication, or injections without success may be candidates for microdiscectomy surgery. Additionally, patients who have persistent symptoms that significantly impact their daily activities and quality of life may also be recommended for this type of surgery. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine if microdiscectomy is the right course of action for them.

Timeline

Before microdiscectomy:

  • Patient may experience chronic low back pain, leg pain, and numbness or weakness in the legs
  • Patient may undergo a series of conservative treatments such as physical therapy, medications, and injections
  • Patient may experience ongoing symptoms and limited mobility despite conservative treatments

After microdiscectomy:

  • Patient undergoes the surgical procedure to remove the herniated disc material pressing on the nerve root
  • Patient may experience immediate relief from leg pain and numbness
  • Patient may have some residual back pain or discomfort from the surgery
  • Patient undergoes physical therapy to improve strength and flexibility in the back and legs
  • Patient gradually returns to normal activities and experiences improved quality of life

Overall, the timeline for a patient before and after microdiscectomy involves a period of ongoing symptoms and conservative treatments followed by surgical intervention and rehabilitation to improve symptoms and function.

What to Ask Your Doctor

Some questions a patient should ask their doctor about microdiscectomy in relation to mental health include:

  1. How does mental health impact the outcomes of microdiscectomy surgery?
  2. Will my mental health status be taken into consideration when planning my surgery and post-operative care?
  3. What support or resources are available to help me manage any mental health issues before and after surgery?
  4. How can I communicate my mental health concerns to my healthcare team during the treatment process?
  5. Are there any specific precautions or recommendations for patients with poor mental health undergoing microdiscectomy surgery?
  6. How will my mental health be monitored during the recovery period following surgery?
  7. What can I expect in terms of pain management and emotional well-being during the recovery process?
  8. Are there any potential risks or complications related to mental health that I should be aware of before undergoing microdiscectomy surgery?
  9. How can I best prepare myself mentally and emotionally for the surgery and recovery process?
  10. Are there any resources or support groups available for patients with mental health concerns undergoing microdiscectomy surgery?

Reference

Authors: Heard JC, Lee Y, Ezeonu T, Lambrechts MJ, Narayanan R, Yeung C, Wright J, Paulik J, Purtill C, Mangan JJ, Kurd MF, Kaye ID, Canseco JA, Hilibrand AS, Vaccaro AR, Schroeder GD, Kepler CK. Journal: Eur Spine J. 2024 Jun;33(6):2190-2197. doi: 10.1007/s00586-023-08090-9. Epub 2024 Apr 17. PMID: 38630247