Lumbar Microdiscectomy
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- Опубликовано: 28 июн 2024
- Dr. Shim explains what is Lumbar Microdiscectomy, its benefits and potential complications.
For more information, please visit: www.shimspine.com/lumbar-micr...
Citations:
Meyer G, DA Rocha ID, Cristante AF, Marcon RM, Coutinho TP, Torelli AG, Petersen PA, Letaif OB, DE Barros Filho TEP. Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate-A Randomized Clinical Trial. Int J Spine Surg. 2020 Feb;14(1):72-78. PubMed PMID: 32128306
Koebbe CJ, Maroon JC, Abla A, El-Kadi H, Bost J. Lumbar microdiscectomy: a historical perspective and current technical considerations. Neurosurg Focus. 2002 Aug 15;13(2):E3. PubMed PMID: 15916400
Asch HL, Lewis PJ, Moreland DB, Egnatchik JG, Yu YJ, Clabeaux DE, Hyland AH. Prospective multiple outcomes study of outpatient lumbar microdiscectomy: should 75 to 80% success rates be the norm? J Neurosurg. 2002 Jan;96(1 Suppl):34-44. PubMed PMID: 11795712
Lee DY, Shim CS, Ahn Y, Choi YG, Kim HJ, Lee SH. Comparison of percutaneous endoscopic lumbar discectomy and open lumbar microdiscectomy for recurrent disc herniation. J Korean Neurosurg Soc. 2009 Dec;46(6):515-21. PubMed PMID: 20062565
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Had mine done 3 days ago. The hardest part is remembering that I'm healing and to take it easy. Very reluctant to go the surgery route, but what a game changer it was.
May I ask what your symptoms were and at what level was the herniation? I have a few at L2-L3, L4-L5 and L5-S1 and my biggest issue is the numbness in my right thigh and right toes. Other than that I really don't have pain, but I would like to consider this for the numbness.
@@jesse590 L4/L5 - Symptoms were all the classic sciatic pain areas. Hip pain that radiated to butt cheek and down leg. I described the tingly sensation as the same you get if you sit on the toilet too long, but only down one leg. Hurt horribly to cough or sneeze.
Unfortunately, I forgot I was healing and re herniated it. Pain is back, but not where it was. Round two of surgery next Monday morning.
All of my pain, then and now has been in my hip area, SI joint area and down my leg. Nothing discomforting in my lower back.
@@allstonmd Thank you for taking the time to respond. I'm still trying to figure out if this is an option for me. I'm sorry you injured yourself again, I know that pain and it sucks! I wish you well next Monday!
Hey man, about to get mine done. How you feeling after 3 months?
Ended up having two surgeries. Still have sciatic pain in left leg. No where near where it was but not pain free either. My advice, take it easy after surgery. You'll feel great and that's the problem. You forget you're recovering. Best of luck.
I'm waiting to have this done, nervous but excited and reading some of these comments is very reassuring.
I had a this exact surgery done 2 years ago and what a life changer. I highly recommend anyone with leg pain due to disk herniation to talk to their doctor about this procedure.
How long was your recovery? I'm scared to do it, I don't wasn't to be out of commission for so long
Superb explanation. I got operated on 12-12-2023. Now I’m feeling much better ❤
I am scheduled to have this procedure done in 2 weeks. I am a little perturbed by this guy describing the procedure as ineffective for back pain given that is my chief complaint, but my doctor did say another surgery might be necessary so this not totally inconsistent with what I have been told and everyone is different. The comments are definitely reassuring.
I’d been suffering pain for 20+ years and avoiding surgery, I did a year of physical therapy that didn’t work, so decided to go with surgery.
my firsts doctor’s opinion was to work on L4 and L5 disks, which L4-S1 was a fusion! but I consulted with another doctor and he suggested to do microdiscectomy on my L5 disk! and it’s almost a year and I’m happy that I did this and can live normally 🎉
Great surgeon!
So a doctor recommended that I take vitamin b o b complex to help after the surgery! I’ve been taking it for a month and it’s honestly helped me so much! It helps with nerve damage
Great info
Im having my surgery done in 4 days I have been suffering for 4 and half years 😢so now I'm hoping to get my life back and be pain free 🙏
You'll be happy
How did your surgery go? Any pain post surgery and what's the recovery been like?
This Surgery works Wonders felt immediate Relief.
Amazing info. Thanks for this!! I was going to get this procedure done. I thought it would help with upper thigh pain and lower back pain. I have two herniated disc’s one is 11mm out and it’s causing radiating pain in my upper thigh and low right side of my back.. and I have pain at my l4 l5.. I honestly don’t know what to do at this point. Car accident caused the injury
Hi did you do surgery?
I'm waiting for my schedule date. It's an annoying pain and numbness. I haven't sleep in days. Damn't!
Could you please explai the differences between this type of surgery, and surgery performed at Deuk Spine Institute?
Yes please
Thank you.
So wait, how do you replace the cartilage? What about micro-fracturing?
Had this done on two pinched nerves two weeks ago and so far so good. I still have outer thihg pain which comes and goes which according to the surgeon is normal in my case since the nerve was trapped for several years it will take,e longer to regenerate
Scrapped the vertebra bones during this operation. I'm doubt about that, if growth the damaged bones after surgery.
The best surgery ever if you catch it early enough it can be done on a out patient basis .The problem was my doctors missed the injury on the MRI . So if you are rehabbing it gets better for a short time but the pain keeps coming back you need to see a different doctor with better eyes .
Im 2 weeks home drom having discs removed and being dused from L4-S1. I think the surgeon forfot the gently part when moving the muscles outof the way. 2 years ago i had a botches surgery where they just ground the disc down. I was in worse pain after and quickly but steadily got worse. Now, it feels like theres actually room in my spine for the nerves but theres still radiating pain in my leg and foot. It seems like ill be in about 30% less pain once everything heals. The bottom of my left leg and foot felt like they were on fire before i had this surgery. Anyone considering this: research research and do more research before having it done. Pick a large hospital in a large city.
How long does it take for residual numbess to subside after the procedure??
Can disc heal after removal of that bulge part?
is microscopic is safe and how much success rate
I have surgery tomorrow on l5 S1 I don’t leg pain but I have so much pain that sometimes it hard to walk or my leg get weak will the surgery help
My diffuse disc bulge problem
do neurosurgeon seal the ruptured wall after removing the herniation from microdiscectomy?
Can someone please tell me if a microdiscectomy and a discectomy are the same or different?
Wonderful video just reduce or remove the music, it’s loud and annoying!!!
This is not considered a "percutaneous discectomy", correct?
Question do they only do this procedure for disc herniations or can this also be done for a disc bulge?
Good question. A bulge is a disc that hasn't had the nuclei pulposa leak out yet which is what they remove when it's herniated. I'm pretty sure if it's just a bulge, this isn't the correct procedure.
When the bone is removed how do you make sure the bone dust/fragments don't stay in the site?
They rinse it out usually with sterile saline and sometimes antibiotics. Also your body does a great job at just absorbing stuff like that.
and since a part of the bone is removed, does that affect the physical strenght of the body later?
I mean, I am kind of concerned that a part of the bone would be missing
Disectomy is a surgery to remove lumbar herniated disc compressing the nerve roots. Is microdisectomy the same as disectomy? I find both terms very confusing.
Yes. A minor variation using a more manification, but the goals are the same.
@@ShimSpineVideos Thank you so much for clarifying these two terms.
A microdiscectomy is a removal of the herniated part of the disc. A discectomy is a removal of the ENTIRE disc. At that point you all need to have an artificial disc or spinal fusion to account for the vacant space in between the vertebrae.
@@dobklyznskovik6705 no its not ! they just make a small incision and use so its less invasive and use a microscope.
You remove the disc bulge. Then why it's not effective in back pain
A herniated disc may not be painful in the disc or back area. At least not at the start of the disc bulge. This is the case when the disc is weakened over time and the outer ring of the disc is weakened or torn. Poor posture combined with loaded twisting can cause a lumbar disc bulge and eventually a tear. An injury like weightlifting or falling or other trauma can cause extreme back pain in the area of the disc.
In either case the bulging disc puts pressure on the nerves that go through your glutes and down your leg. This is called referred pain.
In an advanced or large disc herniation you will begin to feel pain in the disc itself as the pressure increases. Also the material inside the disc is neurotoxic and causes the nerve to become inflamed worsening the pain in the buttock and down the back of the leg and in the disc area itself. Ie. Sciatica
The microdiscectomy will remove the disc material that has made its way outside the disc ring. And the bulging portion that has not escaped the tear in the outer ring is also removed. And that will really help all the pain and inflammation including the pain near the disc.
How many Microdisectomy can you have to the same disc or level?
2 . After that is called laminectomy . And if that Doesn’t work then you need fusion
Hi doc. After the microdiscectomy mey left leg start to feel numbeness and tingling this is 1 week now. Before the pain is in the right leg but its gone now. What it bothers me. I feel the tingling and numbess now in the left leg. Please answer doc if its normal. Or there is a problem
how it feels now
Does the bone comes back to original shape after cutting it ?
Bone doesn’t grow again . Only cartilage.
I am also gets this operation on 5th,Dec,2022.i have some fear.please suggest me.
How do you feel after of the postoperatorio?
What fear you have?
I got surgery yesterday
I'm 10 months in of back pain. I found out I have a disc buldge at L5 s1 I've tried physical therapy, chiropractor, decompression exercises, deep tissue massages, medicine, etc nothing helps. I got a steroid injection 24 hours ago I'm waiting to see if it will kick in within the next week to relieve me of pain. My doc said if it helps with the pain surgery will help the pain go away. I have back pain on my left side when I sit not when I walk or stand I have no leg pain (Sciatica). Has your pain went all the way away after surgery? Also did u have leg or back pain b4 surgery or both 🤔
Same back pain ang right leg so they did to me micro DISCECTOMY
@@ambisyosame4242 my bulge is 4.4 millimeters do u know how long your buldge was? Or was it herniated?
No but idid lumbar traction therapy for 6 months but nothibg happened so they deside the oparation
me cool I'm in Houston what city u in
I had a this exact surgery done 2 years ago and what a life changer. I highly recommend anyone with leg pain due to disk herniation to talk to their doctor about this procedure.