How To Repair A Herniated Disk

The most common variant of spinal injury is a herniated disc.

This condition tin can crusade back or cervix pain, arm or leg discomfort and fifty-fifty advance into more than complicated syndromes such as sciatica, pinched nerves, radiculopathy, or myelopathy. Fortunately, herniated discs can now be safely repaired (Deuk Laser Disc Repair) by a qualified surgeon competent in the proper technique. Repairing herniated discs is at present possible; withal, it requires extensive training in endoscopic spine surgery and skill using medical grade Holmium-YAG lasers. More invasive but less successful treatments for herniated discs, such as fusion or total disc replacement are more readily available worldwide but have bad complications, longer recovery and require the utilise of unsafe opioid painkillers for weeks after surgery is completed.

What Is a Herniated Disc?

There are 23 intervertebral discs in the spinal column: vi cervical, 12 thoracic, and five lumbar. These discs are soft tissue joints composed of a hydraulic gelled core called the nucleus pulposus encased within a firm outer collagen wall termed the annulus fibrosus. The discs protect the spinal vertebrae and nerves from sudden bear upon. They also absorb shock from movements of the spine like bending, twisting and jumping. Unfortunately, the disc's outer wall, the annulus fibrosus, tin develop traumatic tears (annular tear), allowing the jelly-similar nucleus pulposus to push backward out of the tear into the spinal culvert or neural foramen.

The function of the jelly nucleus pulposus that pushes out through the tear is called the herniation. In many cases, this hernia tin impinge on a nerve, giving rise to inflammation and irritation of the affected nerve.

Disc herniation is caused by several factors which can bear upon the joints individually or as a combination. The most prevalent of these factors is wear and tear in the spine. Every bit humans age, the cartilage that connects the discs in the spine to the corresponding vertebrae members can become lax and lose elasticity. Herniated discs tin as well be acquired by sudden touch on and trauma from accidents or falls.

Herniated Disc Surgery: What You lot Need to Know

When herniated discs cause back or cervix pain and the pain doesn't resolve on its own within a few months, surgery on the disc becomes the best treatment selection.

If you would like to know more about potential causes of back and adjacent pain, watch the video below;

The type of surgery used to treat herniated discs is called spine surgery and traditionally included microdiscectomy and spine fusions until various more than advanced techniques were developed, like deuk light amplification by stimulated emission of radiation disc repair, to expedite recovery and operation time and improve pain relief capability. More traditional spine surgery is performed under general anesthesia. Upon completion, patients are typically required to remain in the hospital for observation, ranging from ii days to multiple weeks. Additional post-surgery requirements are stipulated to prevent overexertion of the dorsum and avoid post-operative re-impairment.

There are different surgery options available for patients who have been diagnosed with herniated discs. The surgical treatment selection typically depends on two factors; the associated symptoms and severity of the patient's injury. These options range from minimally invasive surgical procedures to artificial disc replacements or spinal fusion in farthermost cases. Before a process is selected, patients are brash to consult a spine expert to acquit a full MRI scan and let for a thorough examination and subsequent localized diagnosis.

The most advanced surgery in the world for a herniated disc is the Deuk Laser Disc Repair. This procedure is performed endoscopically with a pocket-sized 7mm incision. The surgery is about bloodless and takes 30 minutes per disc being repaired. You lot heard correctly, your ain natural disc volition be repaired so that it no longer causes yous pain and the effect is permanent. The laser employed for this procedure is the almost precise medical instrument currently bachelor for surgical use with an impressive ½ millimeter precision. A high definition endoscopic view inside the damaged disc is used to maximize accurateness of the newly developed (at Deuk Spine Institute exclusively) annular debridement, performed to eliminate painful tissue inside the disc. Just the laser annuluar debridement of the Deuk Laser Disc Repair procedure will allow natural disc healing without the need for metal screws-rods, artificial discs or dangerous biological spine implants used by surgeons to promote fusion. What this means for patients choosing Deuk Laser Disc Repair is that recovery time is shorter, less than 1 hr, compared to long recovery times for fusions, laminectomies and bogus discs which last months. Finally, when you compare Deuk Laser Disc Repair to other types of spine surgery, DLDR has the highest hurting relief (98%), lowest risk of surgical complications (naught to engagement), fastest recovery (52 minute average), least amount of blood loss (average of 10 drops), lowest cost and fastest return to piece of work and life. Why would anyone want invasive, dangerous surgery that works less than 50% of the time? In fact, when you really empathize how much better Deuk Laser Disc Repair is than traditional surgeries like microdiscectomy, laminectomy, spinal fusion or full disc replacement, your mind is easily made. Traditional spine surgery is dangerous to your health and completely unnecessary.

An MRI scan and a detailed concrete exam are necessary to establish the herniation'southward telescopic, location, and degree(south). Afterward, a suitable surgical procedure can be recommended if it is considered necessary.

Why Surgery for Herniated disc is Performed

Herniated disc surgery is commonly conducted to alleviate the effects of the herniated disc. Under general circumstances, herniated discs cause pain because of the nerve fibers around the inflamed tear in the annulus. Inflammation occurs when the herniated nucleus pulposus wedges itself within the annular tear. The effect of this "interposed" herniated nucleus pulposus on the annular tear is to generate a powerful inflammatory response inside the disc. Leg or arm pain occurs when the herniated disc irritates or pinches a nerve, it affects the sensory and motor areas continued to the nerve root. Therefore, patients who suffer from a herniated disc might feel difficulty in completing bones daily tasks.

In virtually cases, such patients lose sensation in certain parts of the body, ranging from the arms to the palms and fingers. Specific afflicted regions volition depend on the location of the herniated discs within the spine equally cervical and lumbar disc herniation tend to crusade dissimilar symptoms. It is also quite usual to feel pain in the shoulders, legs, neck, and back due to the inflammation of the nerve roots that control motion in these regions. All these symptoms can be discomforting and obstructive to day-to-day activities. Thus, surgery becomes necessary to subdue the result of herniated discs. This is accomplished by relieving the pressure that the herniated disc tissue exerts on the affected spinal nervus and removing the crusade of nerve inflammation, i.e., the herniated portion of the tissue.

Should you have surgery for a herniated disc?

If you are in pain, yeah! Opting for surgery depends on the patient'southward diagnosis every bit well equally personal preferences. Surgery for a painful disc herniation is recommended for patients who accept attempted medical treatments for dorsum pain or neck pain for at to the lowest degree two months. During the commencement 2 months after injury, patients should attempt non-surgical treatments such as activity restrictions, therapy and anti-inflammatory medication before turning to spinal surgery equally a terminal resort. There are exceptions to this general rule and they include pinched nerves, spinal cord damage and spinal instability, all of which need immediate surgery without delay.

Traditional types of spine surgery are commonly performed by surgeons non trained in the latest surgical techniques, but are they the patient'due south best selection? There are a variety of options that patients can explore outside of traditional lumbar discectomy, laminectomy or microdiscectomy, all of which tin can but ease leg symptoms at all-time and do nothing for back pain. For instance, oral hurting medications and administrable injections will marginally reduce the effects of herniated discs, including the associated arm or leg hurting or radiculopathy because the medications effects are not targeted to the source of pain but diluted throughout the body. Conservative measures include nonsteroidal anti-inflammatory drugs (NSAIDs) and epidural steroid injection. The problem is that these medications have brusk-lived beneficial effects at best and patients would need a lifetime of treatments non to mention the side effects and complications that frequently occur from their prolonged use.

Patients tin as well opt for physical therapy and exercise but unfortunately neither will finish the pain emanating from a damaged disc and most patients report that therapy aggravates their hurting when it comes from a herniated disc. Physiotherapy is widely recommended for all herniated discs patients, regardless of whether they choose to have surgery or non. The purpose of therapy is to maintain skillful posture, residue and tone while the trunk attempts to heal the damaged disc(s) on its own. Nonetheless, doctors will often recommend surgery if the condition is astringent and causing prolonged pain and disability. Rare symptoms might include a loss of command of both float and bowel movements. In such cases, immediate medical action is recommended before complications develop in the digestive system.

As a general guide, herniated disc surgery is advisable for patients who exhibit any of the following symptoms;

Dorsum pain (with or without leg pain)
Neck pain (with or without arm pain)
Pain, weakness or numbness in affected regions of artillery or legs, depending on the location of the herniated disc in the spine.
Difficulty in completing motor functions like walking and standing
Waiting for loss of bladder and bowel control is waiting too long

Surgery Options for a Herniated Disc

Spinal surgery is the almost constructive method for the treatment of herniated discs, including bulging discs, in the spine. Beneath, we highlight some of the procedures offered past Deuk Spine Institute;

Deuk Laser Disc Repair

This revolutionary procedure is Deuk Spine Plant's specialized alternative to dangerous invasive surgeries like spinal fusion or full disc replacement. The light amplification by stimulated emission of radiation disc repair does non weaken or compromise the wellness and integrity of the spine. Our modernized approach to laser spine surgery has a 95% success rate with no complications in any patient over 15 years of performing this procedure and over i,300 patients treated.

Process

Deuk laser disc repair surgery is a class of endoscopic spine surgery performed in our state of the fine art surgery center under sedation while the patient relaxes. Through a ¼ inch incision, the injured disc is visualized using an endoscope and alive imaging via a loftier definition photographic camera attached to the spinal endoscope. With this method, Dr. Deukmedjian carefully eliminates only the injured disc tissue causing pain and discomfort and leaves the rest of the patient's own natural disc in identify to preserve spinal move and function. Fusions and artificial discs are not necessary because the patient's repaired natural disc is left in place.

Deuk Laser Disc Repair uses a precision laser to vaporize the herniated tissue and provide the most constructive laser spine surgery available. Bone and surrounding tissues are not damaged or removed during this procedure, different traditional microdiscectomy, artificial discs and spinal fusions.

Dr. Ara Deukmedjian uses FDA approved tools to access the disc through a natural space in the spine where he does not drill through bone as is done with microdiscectomy. Drilling through bone weakens the spine, which leads to future complications that may crave fusion surgery. In one case the herniation and annular tear have been gently vaporized, the trunk tin heal naturally. Irritation effectually the spine decreases, and neurological symptoms from nervus root force per unit area subside. In time, the disc functions as it did before injury and herniation. After surgery, patients wake up to immediate relief and a surgical scar so pocket-sized the surgeon can cover it with a Band-aid. Simply a few drops of blood are lost and no hospitalization is required. All 1,300 Deuk Laser Disc Repair surgeries done to date have been outpatient with a one hour recovery.

Deuk Laser Disc Repair surgery video

Patient Reviews

"The surgery only takes about one hour. Throughout the entire functioning, I did not feel a thing. I woke upwardly and all my pain was gone. I am walking better than I have in years."

"Information technology was such a wonderful professional experience. Dr Deuk is the best in the earth. I only have a lilliputian pimple-sized incision and admittedly no scars. My full range of motion is back and I can not wait to go dorsum to dancing and all the things I take been so nervous about. I could weep, I am so happy."

Cost Construction

The cost for this procedure includes fees charged for the following;

Surgeon
Assistant
Surgery centre
Postoperative evaluation
Anesthesiologist

Request a free MRI review for a consummate quote

Discectomy

There are ii variants of discectomy surgery that patients can undergo; an open discectomy or a microdiscectomy. Discectomy is far more invasive than endoscopic laser spine surgery and as such has more complications, postoperative pain, longer recovery and more scar tissue.

The master distinction is that an open discectomy features a larger incision, more normal spinal bone and ligaments are removed, more scar tissue and pain than a microdiscectomy. This process gives room for the underlying chance of nerve impairment to the neighboring fretfulness of the vertebrae. The spinal column can also get unstable due to the removed bones, ligaments, and facet joints. In such cases, a spinal fusion is conducted following the discectomy to re-stabilize the spinal column, marginally increasing the patient's recovery time.

Spinal Fusion

Spinal fusion can be done to treat painful disc herniations. This surgery is far more invasive than light amplification by stimulated emission of radiation spine surgery or discectomies. The outcomes of fusion are improve for treatment of back pain and neck pain when compared to discectomy considering the fusion stops movement at a painful joint. Fusions are harder for spine surgeons to perform properly and many spinal fusions are washed with poor planning and technique resulting in bad outcomes for the patient. You can meet a comparison of cervical fusion to deuk light amplification by stimulated emission of radiation disc repair here:

Lumbar disc herniations can be fused with good success simply the dangers and invasiveness of fusions is far greater in the lower back equally seen in this comparing video here.

When to accept back surgery for herniated disc

It is non uncommon for herniated disc symptoms to naturally heal over days or weeks. Patients can immediately prepare to undergo surgery in cases where severe symptoms persist, such every bit those addressed in the section above; (Should Y'all Have Surgery for Your Herniated Disc).

Patients are ever advised to take an MRI browse washed before opting for back surgery or any other form of herniated disc treatment. This is e'er useful to ascertain the full extent of the condition and make up one's mind the advisable surgical process. If you lot have already completed this stride and would similar a gratuitous consultation on your MRI scan, please submit information technology here, and our team volition attain out to y'all. In cases where the herniated disc causes a pinched nerve, an EMG-NCS may also be ordered. For patients unable to get an MRI browse due to restrictions, a CT scan could be useful.

How to prepare for herniated disc surgery

Once a patient decides to undergo herniated disc surgery, the natural next step is to gear up for it. This process begins by organizing a consultation with the operating surgeon to found certain data such as the expected recovery rate, whatever side effects to be anticipated, a follow-through of the operating procedure, dietary or lifestyle restrictions to follow, and other related queries.

While this is not a requirement, the patient is also encouraged to conduct an independent groundwork search on the clinic. It is advisable to research bones information such as the reputation of the clinic, its physicians, and whatever by testimonials.

At Deuk Spine Plant, we advise patients to consummate a series of tests earlier fixing their surgery engagement. These include Lab tests, EKG, and clearance (possible chest X-Ray). Full disclosure on all existing medication is also required from our patients. This is necessary to prescribe replacement medication that will help the surgery and postal service-op recovery process.

What to wait after herniated disc surgery

Herniated disc surgery is a highly constructive treatment for spinal discs weather condition. Recovery periods and rates volition typically vary depending on the surgery type and the surgeon's competence.

Patients are advised to engage the services of a physical therapist to hasten the recovery period. This has many advantages, including regaining mobility faster and preventing injuries due to careless movement.

A general recovery guide is to abstain from strenuous physical activity for a few weeks post-obit the procedure. This usually involves lifting heavy objects, prolonged sitting or continuing, and any bending or stretching activeness.

When you lot undergo your surgery with Deuk Spine Plant, the mail service-op recovery stage is accelerated. Our patients enjoy personalized rehabilitation therapy with our in-house specialist, who prescribes exercises to recondition the muscle and prevent irritation.

Herniated disc surgery success rates

Herniated disc surgery naturally has a high success rate. Most patients are frequently able to resume their normal lifestyle inside days of undergoing surgery. At Deuk Spine Institute, our patients receive skilful outpatient care, eliminating the need for hospitalization and the consequent risk of infection or complications. Patients can leave immediately afterwards their surgery, and they can expect to exist back to their usual schedule within days.

If you would like to savor premium patient-oriented care delivered by globe-form physicians, contact us at Deuk Spine Plant today. We also offer gratuitous consultation on your MRI scan. Visit our site here to outset your treatment.