Our Summary

This research paper examined how different amounts of painkillers were prescribed to patients who underwent a specific type of back surgery. They looked at patients who had never taken opioids before and who had a straightforward surgery without complications. They found that the amount and type of opioid prescribed varied a lot. Some patients were given different types of opioids, like Percocet, oxycodone, or Norco, and others received none at all. On average, patients received about a week’s worth of medication. Doctors and the hospital where the surgery took place played a significant role in determining how many pills were given. The researchers suggest that clearer guidelines should be established for prescribing opioids after this type of surgery to ensure consistent pain management.

FAQs

  1. What type of surgery was the focus of the research paper?
  2. What factors played a significant role in determining the quantity of opioids prescribed to patients?
  3. What was the average duration of medication prescribed to patients following the surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about microdiscectomy is to follow the prescribed pain management plan closely and communicate any concerns or changes in pain levels to their healthcare provider. It is important to take pain medication as directed to manage discomfort effectively and prevent complications. Additionally, patients should gradually taper off opioids as their pain improves to minimize the risk of dependence or addiction. It is also important to incorporate other pain management strategies, such as physical therapy, ice or heat therapy, and relaxation techniques, to enhance recovery and reduce reliance on medication.

Suitable For

Patients who are typically recommended for microdiscectomy are those who have a herniated disc in their spine that is causing significant pain, numbness, or weakness in the legs. These patients may have tried other conservative treatments such as physical therapy or medication without success. Additionally, patients who have not had success with epidural steroid injections may also be recommended for microdiscectomy.

It is important to note that each patient’s case is unique, and the decision to undergo microdiscectomy should be made in consultation with a spine specialist who can evaluate the individual’s specific condition and recommend the most appropriate treatment plan.

Timeline

Before microdiscectomy:

  1. Patient experiences persistent lower back pain and leg pain due to a herniated disc pressing on a nerve.
  2. Patient undergoes diagnostic tests such as MRI or CT scan to confirm the diagnosis.
  3. Patient consults with a spine surgeon to discuss treatment options, including microdiscectomy.
  4. Surgery is scheduled, and pre-operative instructions are given to the patient.

After microdiscectomy:

  1. Patient undergoes the microdiscectomy procedure to remove the herniated portion of the disc.
  2. Patient is monitored in the recovery room before being discharged home.
  3. Patient is given post-operative instructions, including restrictions on physical activity and wound care.
  4. Patient may experience some pain and discomfort in the days following surgery, which is managed with prescribed pain medications.
  5. Patient gradually resumes normal activities and physical therapy to strengthen the back muscles.
  6. Patient follows up with the surgeon for post-operative appointments to monitor healing and address any concerns.
  7. Patient experiences relief from lower back and leg pain as the nerve is no longer compressed by the herniated disc.

What to Ask Your Doctor

  1. How long will the recovery process be after a microdiscectomy?

  2. What are the potential risks and complications associated with a microdiscectomy?

  3. Will I need physical therapy or other forms of rehabilitation after the surgery?

  4. What type of post-operative pain management plan will be in place?

  5. How long will I need to take pain medication after the surgery?

  6. Are there alternative pain management options to opioids that I can consider?

  7. What signs or symptoms should I watch out for that may indicate a complication after the surgery?

  8. How soon can I return to work or normal activities after a microdiscectomy?

  9. Are there any specific restrictions or precautions I should follow during the recovery period?

  10. What is the success rate of microdiscectomy in relieving my specific type of back pain?

Reference

Authors: Le H, Phan E, Agatstein L, Barber J, Klineberg E, Roberto R, Javidan Y. Journal: Global Spine J. 2022 Mar;12(2):263-266. doi: 10.1177/2192568220950678. Epub 2020 Aug 28. PMID: 32856480