Lumbar microdiscectomy is a cutting-edge surgical procedure aimed at providing relief to patients suffering from debilitating back and leg pain caused by disc herniation. At The Spine MDT, our collaborative approach led by a spine surgeon and partnered with osteopaths, physiotherapists, and chiropractors ensures that we offer the least invasive solutions for optimal long-lasting results. In this blog post, we will delve into what a lumbar microdiscectomy entails and how it is carried out.
Lumbar microdiscectomy is a surgical procedure meticulously crafted to alleviate the tormenting symptoms stemming from herniated discs within the lower back. A herniated disc emerges when the inner nucleus of a spinal disc ruptures through the outer layer, impinging on neighbouring nerves, thereby triggering an array of discomforts including pain, numbness, and weakness coursing through the lower back and legs.
The Procedure: Carrying Out a Lumbar Microdiscectomy:
Intricately engineered with minimally invasive techniques, lumbar microdiscectomy has emerged as a beacon of hope for individuals yearning for effective relief coupled with a swifter recovery. Here is a comprehensive overview of the surgical procedure:
Benefits of the procedure (from British Association of Spine Surgeons):
70-75% of patients experience a significant improvement in leg pain.
20-25% may be better but still have persistent leg pain
5% may have no benefit at all
1% may be worse in terms of pain.
Risks of the procedure:
As with any surgical intervention, potential risks exist but are rare overall. These include:
As most people with sciatica will improve within a few weeks we normally advise treatments that our physiotherapists, osteopaths or chiropractors can offer in the first few weeks of symptoms. However this is determined following a thorough assessment with a spine surgeon to specifically look for any neurological deficits. Whilst a study demonstrated similar results with conservative management to surgery up to 2 years later, it is quite clear that surgery leads to a faster improvement of symptoms.
A recent study (The NERVES trial) showed similar results with a targeted injection to the spine (x-ray guided transforaminal epidural nerve block). Again a thorough assessment of you and review of the MRI scan by a spine surgeon is advised before considering this as an alternative.
Our Multi-Disciplinary Team approach to spine care:
At The Spine MDT, our multidisciplinary team, synergizing the expertise of spine surgeons and allied professionals, collectively navigates the treatment trajectory. Lumbar microdiscectomy emerges as a viable option when non-surgical interventions have been exhaustively explored and the patient's quality of life is egregiously compromised. Our driving force lies in meticulously tailoring treatment plans to ensure optimal outcomes while prioritizing minimal disruptions to your daily routine.
Lumbar microdiscectomy offers an effective solution for individuals with herniated discs. Our collaborative approach at The Spine MDT ensures personalized care and the least invasive treatment options for optimal, long-lasting results.
BMI - Chelsfield Park Hospital
Private Consultations and Surgery
Bucks Cross Rd, Chelsfield,
Orpington BR6 7RG
Call: 01689 877855
Spire - Hartswood - Brentwood
Private Consultations and Surgery
Eagle Way, Warley,
Brentwood CM13 3LE
Call: 01277 508161
BMI - London Independent Hospital
1 Beaumont Square,
London E1 4NL
Whilst surgery is carried out here for complex cases no consultations are held here.
The video consultation platforms (MS Teams and Zoom) have been set up by the hospitals to ensure your security and ease of use. The appointment staff will help you in setting up these consultations.
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