What is Discectomy?
Discectomy refers to a surgical procedure that involves the removal of a damaged part of a herniated disk (also known as ruptured, slipped, bulging disk or disk prolapse) in the spine. A herniated disk is a condition where a portion of the soft material present in the disk pushes out from a crack in the tough exterior. The herniated disk may cause irritation or compression of the nerves located nearby, resulting in numbness, weakness and pain. These symptoms may affect the neck or the back and even radiate down to the arms and legs.
A doctor generally suggests discectomy to a patient if the symptoms have gradually worsened or the non-surgical treatments have not been effective. Though there are several ways for performing a discectomy, surgeons prefer minimally invasive discectomy, where small incisions are made and a small video camera is used for viewing purpose.
A patient may be recommended to undergo discectomy in the following circumstances:
What Procedure is followed :
It is important to follow the following pre-procedure instructions before undergoing a discectomy:
The surgery is performed by administering the patient with general anaesthesia. It can be done by one of the following methods or a combination of both:
After the surgery has been successfully completed, you will be shifted to a general bed where the doctors will monitor you and look for any complications related to the surgery or anaesthesia. You can go home the same day, or you may to stay in the hospital for a few days if you had a pre-existing health condition.
You can get back to work in 4-6 weeks after the surgery. In case your profession involves lifting heavy objects or operating heavy machinery, you may have to wait for 8 weeks before you resume working. Limit activities that involve bending, lifting or stooping for 3-4 weeks after the surgery. Also, avoid sitting down for long hours during this time.
Ensure to take your medications in time. A physical therapist will be able to teach you exercise for improving the flexibility and strength of your muscles around the spine.
Risk & Complication
Discectomy is generally considered to be a safe procedure. However, as with every surgery, there may be some risks that are associated with it. These complications also depend on your age, your general health condition, and how your body reacts to the surgery and the medications. Some of the complications that may occur are:
A discectomy reduces the symptoms of a herniated disc, but it does not cure the reason why the disc was actually herniated. To avoid injuring your spine once again, your doctor may recommend losing weight, go for low-impact exercises, and limit activities that involve repetitive or extensive twisting, bending or lifting. You can assume your normal diet, from the time you get back home. Fruits, vegetables and extra fluids must be added to avoid constipation.
Attending follow-up session with your doctor is important after undergoing a discectomy. You may also have to undergo an x-ray so that your doctor can analyse your progress.
The cost of discectomy would be approximately Rs. 2,25,000 – Rs. 2,75,000.
Also called as slipdisc pain or sciatica may affect your lumbar or cervical or throracic spine. But most common is l4 5and l5-s1 level or c5-6 level.
Most of painful condition of pertaining to your spine due to bulge, prolapse (protrusion), extrusion, sequestration. In with all condition nucleus pulposus come out from it originally site. Causing pressure over traversing or exiting nerve roots. Most of time patient getting treatment for of slipdisc or sciatica etc without any radiological evidence.
What causes pivd?
*unwanted prolonged exposure to sitting posture
*acute forward flexion
*unwanted weight lifting
*trauma or accident
*keep on exercise for chronic pain condition
What is symptoms?
Paresthesia, numbness, tingling sensation, burning sensation, spasms in thigh's and calf muscles, radiating pain upto knee or foot. Unable to sitting or standing for long hours, bowl or bladder incontinence, motor power affected
What are basic investigation?
X-rays only show alignment and fracture and displacement of vertebrae,
Mri scan shows all soft and hard structure of spine-all disc, nerve, ligaments, joint, vessel and muscles etc can be seen in perfect way
Emg, ncv, neurometry etc
There's two types of options for your spine pain, one is conservative treatment with bed rest, exercises and medicine. But upto certain duration 6week to 6month you can try with. If no red flag sign like loss of motor power. Or bowl bladder involvement should take opinion from surgeon.
Second way is surgical procedure-like conventional open surgery or endoscopic minimal invasive techniques choice of your surgeon. As common man had reservation about spine surgery as thoughts to be risky, chance of bowl and bladder incontinence, or power loss of limbs, because in conventional surgery a small percentage of cases use to face failed back surgery syndrome. Where such complaint were invitable. Big skin incision. Long bed rest. Long hospital stays. Even with expert surgeon these complications were enviably there.
Secondly there is minimal invasive like pin hole stitchless techniques are now choice for spine disc pain problem. Day care surgery with out any blood loss. 24hrs hospital stay, no incision like conventional surgery. Done under local anaesthesia and sedation. Patient can resume daily activities same day. Can go to work with safety measures after 2weeks. And safety precautions to be followed for strengthening your back spine. Now like day care surgery endoscopic discectomy for slipdisc pain can be managed in our hands. All surgery can be seen even by patients on screen, what exactly happened to your spine and disc material.
Post procedure- follow up-
Regular physiotherapy and rehabilitation services is mandatory for strengthening of your spine.
Prognosis-success of procedure is 95%with all precautions and safety measures.
Lumbar disc prolapse is common
The mri images and symptoms of the patient need not necessarily match.
Here comes the role of pain management specialist
He examines the patient thoroughly and offers treatment options like root injections or endoscopic discectomy under local anesthesia
These are simple safe and scientific
Lumbar disc prolapse causes severe back pain and radiates down to one or both legs below the knee. MRI shows exact problem. After basic pain killers - rest for a week, do some physiotherapy if pain persists, a pain management specialist is needed. He will see the possibility of a root block at the nerve affected by disc prolapse. If severe degree of prolapse, endoscopic discectomy under local anesthesia is best as a day care and minimally invasive procedure.The patient usually is discharged in 12-24 hrs.
Ozone in pivd/slipped disc
In case of prolapsed inter-vertebral disc (or, slipped disc) different other mechanism acts. Inter-vertebral disc is filled with nucleus pulposus which is a jelly like material which holds water (90% of disc material is water). When ozone is injected into the disc the proteo-glycan bridges in the jelly-like material are broken down and they no longer capable of holding water. As a result disc shrinks and mummified which is equivalent to surgical discectomy and so the procedure is called ozone discectomy or ozonucleolysis. It has been published in anesthesia and pain journals that up to 85% of disc operation can be avoided with these non-surgical interventions. Success rate is about 88% which is comparable to surgical discectomy (50% to 90%). Complications are remarkably low and much less than surgery.
Minimally invasive procedure using small needle and probe to remove disc material of prolapsed disc, releasing pressure on nerves and relieving pain in most of the patients of prolapsed / bulging / slipped disc.
Rotating probe is inserted through needle into the disc under x-ray/ fluoroscopic guidance
Rotating tip removes small portion of disc material. Because only enough of the disc is removed to reduce pressure inside the disc, the spine remains stable
Insertion site covered with bandage. Recovery is fast as unlike surgical decompression no bone or muscle is cut. 2-3 days of bed rest and may return to normal activity within one week.
Ipsc india has been pioneer in ozone discectomy or ozonucleolysis for slipped disc or prolapsed disc. We have treated thousands of patients not only from across india but also international patients from usa, uk, nigeria, afghanistan, iraq, bangladesh, nepal and saudi arabia. We have the original, closed circuit-self calibration ozone machine, imported from italy.
What is Discectomy?
What Procedure is followed :
Risk & Complication