Our Summary

This research paper discusses a surgical procedure known as microdiscectomy, which is used to treat patients suffering from radiculopathy (nerve root irritation) due to a lumbar disc herniation (a condition where a disc in the lower back bulges out and presses on the nerves). This condition often resolves without surgery, but if non-surgical treatments don’t work, microdiscectomy can be an option.

The procedure involves a small incision, creating a pathway to the affected area, verifying the right location for surgery, and then removing the problematic disc fragments. Surgeons tend to prefer using an operating microscope for this procedure due to its light and magnification capabilities, but they can also use magnifying glasses and a headlamp.

Most patients who undergo microdiscectomy experience relief from their symptoms and reduced back pain. However, there can be complications, such as the disc herniation recurring or happening at another location, infections at the wound site, and a specific type of headache caused by leakage of spinal fluid.

FAQs

  1. What is a microdiscectomy and when is it used?
  2. What is the process of a microdiscectomy procedure?
  3. What are some possible complications of a microdiscectomy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about microdiscectomy is to follow post-operative instructions carefully to ensure proper healing and reduce the risk of complications. This may include avoiding heavy lifting, bending, or twisting for a certain period of time, as well as gradually returning to normal activities as advised by the surgeon. Physical therapy may also be recommended to help strengthen the back muscles and improve flexibility after surgery. It is important for patients to communicate any concerns or changes in symptoms to their healthcare provider to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for microdiscectomy are those who have not found relief from non-surgical treatments such as physical therapy, medications, and injections. Additionally, patients who have severe and debilitating symptoms such as leg pain, weakness, and numbness that are affecting their daily activities and quality of life may be candidates for this surgery.

It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if microdiscectomy is the right course of action for them. Factors such as the location and size of the herniated disc, the severity of symptoms, overall health, and the patient’s willingness to undergo surgery and commit to post-operative rehabilitation are all taken into consideration when making this recommendation.

Overall, microdiscectomy is a safe and effective surgical option for patients suffering from radiculopathy due to a lumbar disc herniation. It is important for patients to discuss the risks and benefits of the procedure with their healthcare provider to make an informed decision about their treatment plan.

Timeline

Before microdiscectomy:

  1. Patient experiences symptoms of radiculopathy, such as lower back pain, leg pain, numbness, or weakness.
  2. Patient undergoes diagnostic tests like MRI or CT scan to confirm the presence of a lumbar disc herniation.
  3. Non-surgical treatments like physical therapy, medication, and steroid injections are attempted to alleviate symptoms.
  4. If symptoms persist or worsen, the patient and their healthcare provider discuss the option of microdiscectomy.

After microdiscectomy:

  1. Patient undergoes the surgical procedure, which typically lasts around 1-2 hours.
  2. Following surgery, the patient may experience some pain and discomfort at the incision site.
  3. Physical therapy and rehabilitation are typically recommended to help the patient regain strength and mobility.
  4. Most patients experience relief from radiculopathy symptoms within a few weeks to a few months after surgery.
  5. Follow-up appointments with the surgeon are scheduled to monitor the patient’s recovery and address any concerns or complications.
  6. Long-term follow-up care may include periodic check-ups and monitoring for any signs of disc herniation recurrence.

Overall, microdiscectomy can be an effective treatment option for patients with lumbar disc herniation causing radiculopathy, leading to improved quality of life and reduced pain and discomfort.

What to Ask Your Doctor

Some questions a patient should ask their doctor about microdiscectomy include:

  1. What are the risks and potential complications associated with microdiscectomy?
  2. How successful is microdiscectomy in relieving symptoms of radiculopathy and back pain?
  3. What is the recovery process like after microdiscectomy surgery?
  4. Are there any alternative treatments or procedures that could be considered before opting for microdiscectomy?
  5. How long will I need to stay in the hospital after the surgery?
  6. What type of anesthesia will be used during the procedure?
  7. Will physical therapy be necessary after the surgery, and if so, how soon can I start?
  8. How soon can I return to work and normal activities after microdiscectomy?
  9. What type of follow-up care will be required after the surgery?
  10. Are there any specific lifestyle changes or precautions I should take after microdiscectomy to prevent future disc herniations?

Reference

Authors: Truumees E, Geck M, Stokes JK, Singh D. Journal: JBJS Essent Surg Tech. 2016 Jan 27;6(1):e3. doi: 10.2106/JBJS.ST.N.00093. eCollection 2016 Mar 23. PMID: 30237913