Dr Sandeep Vaishya

DR. SANDEEP VAISHYA

MBBS, MS, MCH (Neurosurgery)
Fellowship Sundt & Mayo Clinic, USA
HOD & Executive Director 

Department of Neurosurgery FMRI

Micro Discectomy: A Comprehensive Guide

Micro Discectomy

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    Related Videos :

    Frequently Asked Questions :

    1.How long is recovery?

    Recovery takes about 4 to 6 weeks, with most patients returning to normal activities within that time.

    Yes, it’s considered safe, especially with an experienced surgeon. Complications are rare.

    Most patients experience immediate pain relief, with only mild discomfort near the incision site.

    Micro Discectomy

    Introduction

    Back pain is a common issue that affects millions of people worldwide, and one of the main causes is a herniated disc in the spine. When conservative treatments like medication and physical therapy fail to provide relief, surgery becomes a viable option. Micro discectomy is a minimally invasive procedure that effectively treats pain caused by herniated discs, particularly sciatica. In this guide, we will explore what micro discectomy is, why it is needed, and the benefits of undergoing the procedure under the care of Dr. Sandeep Vaishya, an expert in spinal surgeries.

    What is Micro Discectomy?

    A micro discectomy is a surgical procedure aimed at relieving pressure on the spinal nerve caused by a herniated disc. Unlike traditional discectomy, micro discectomy is minimally invasive and involves smaller incisions, reducing recovery time and postoperative pain. During the procedure, only the portion of the disc that is compressing the nerve is removed, leaving the rest of the disc intact. This precise approach helps to relieve pain and restore mobility while preserving spinal function.

    Who is a Candidate for Micro Discectomy?

    Micro discectomy is typically recommended for individuals experiencing severe nerve pain that has not improved with non-surgical treatments. The following conditions may make you a good candidate for the procedure:

    • Sciatica: Persistent pain that radiates down the leg due to nerve compression in the lower spine.
    • Herniated disc: When the soft inner material of a spinal disc pushes through the tougher exterior, irritating nearby nerves.
    • Numbness or weakness: Loss of sensation or muscle strength in the legs, feet, or arms caused by nerve compression.
    • Difficulty standing or walking: Pain that makes it hard to perform daily activities like standing or walking for extended periods.

    Patients are generally advised to consider micro discectomy when they’ve tried conservative options, like physical therapy or pain management, for at least six weeks without improvement.

    Why Do You Need Micro Discectomy?

    Micro discectomy is often recommended when non-surgical treatments fail to provide relief. The procedure is especially necessary in cases where:

    • Pain interferes with daily life: Persistent, intense nerve pain makes it difficult to walk, stand, or carry out everyday tasks.
    • Loss of function: If a herniated disc is causing numbness or weakness that affects mobility or limb strength.
    • Bladder or bowel issues: In rare cases, severe nerve compression can cause loss of bladder or bowel control, requiring immediate surgical intervention.

    Without treatment, a herniated disc can cause long-term nerve damage, which may result in permanent loss of sensation or function. A micro discectomy can relieve pressure on the affected nerve, reducing pain and preventing further damage.

    Benefits of Micro Discectomy

    There are several benefits to choosing micro discectomy over traditional spine surgeries:

    • Minimally invasive: Smaller incisions mean less tissue damage, reduced scarring, and faster recovery times.
    • Immediate pain relief: Many patients experience significant pain reduction immediately after surgery as the pressure on the nerve is removed.
    • Quicker recovery: Compared to open surgery, micro discectomy allows most patients to resume normal activities within 4 to 6 weeks.
    • Outpatient procedure: Many patients can return home the same day, reducing the need for prolonged hospital stays.
    • High success rate: Research indicates that micro discectomy has a success rate of over 90% in relieving symptoms of disc herniation, especially sciatic nerve pain.

    Micro Discectomy Procedure

    Micro discectomy is performed under general anesthesia and typically takes about 1 to 2 hours. The steps include:

    • Incision: A small incision (about 1-1.5 inches) is made near the affected disc.
    • Microscope use: A surgical microscope is used to provide a magnified view of the spine for precise removal of disc material.
    • Nerve decompression: The surgeon carefully removes the portion of the herniated disc that is pressing on the nerve, ensuring that surrounding tissues remain intact.
    • Closure: The incision is closed with sutures, and the patient is moved to a recovery area.

    Because the procedure is minimally invasive, the muscle tissue around the spine is preserved, which reduces postoperative pain and speeds up recovery.

    Recovery After Micro Discectomy

    Recovery from micro discectomy is generally quicker than traditional open spinal surgery. Here’s what to expect:

    • Hospital stay: Many patients go home the same day or within 24 hours.
    • Postoperative care: Patients are advised to avoid heavy lifting, bending, or twisting for several weeks. Walking and light activities are encouraged to promote healing.
    • Physical therapy: A physical therapy program may be recommended to strengthen the back muscles and improve flexibility.
    • Return to work: Most patients can return to desk jobs or light activities within 4-6 weeks, though strenuous activities should be avoided for 2-3 months.

    Risks of Micro Discectomy

    Although micro discectomy is generally safe, there are some risks involved, as with any surgical procedure:

    • Infection: Though rare, there is a small risk of infection at the incision site.
    • Nerve damage: Accidental injury to the spinal nerves could result in numbness or weakness.
    • Recurrence of herniation: In some cases, the disc may herniate again after surgery.
    • Dural tear: A tear in the protective covering of the spinal cord can occur, though it is uncommon and can be repaired during surgery.

    Dr. Sandeep Vaishya’s expertise minimizes these risks, ensuring that patients receive the best possible care with a focus on safety and successful outcomes.

    Micro Discectomy vs. Other Spinal Surgeries

    When compared to other spinal surgeries like traditional discectomy or spinal fusion, micro discectomy offers several advantages:

    • Less invasive: Smaller incisions and less tissue disruption.
    • Faster recovery: Quicker return to normal activities compared to more invasive surgeries.
    • Lower complication rate: Due to the minimally invasive nature, there are fewer risks of infection, scarring, or nerve damage.
    • Cost-effective: Since many patients do not require an extended hospital stay, overall costs may be lower.

    However, for more complex spinal conditions, other surgeries like spinal fusion may be more appropriate, depending on the patient’s condition.

    Conclusion

    Micro discectomy offers an excellent solution for those suffering from herniated discs and related nerve pain. This minimally invasive procedure provides quick pain relief and faster recovery, allowing patients to regain their quality of life. With Dr. Sandeep Vaishya’s vast experience and expertise in spine surgeries, you can be confident in receiving top-notch care and personalized treatment.

    If you’ve been struggling with back or leg pain, now is the time to take action. Book an appointment with Dr. Sandeep Vaishya to discuss your options and start your path to recovery.

    Phone: +91 95992 92271
    Website: www.drsandeepvaishya.com

    Get in touch today to schedule your consultation and take the first step toward a pain-free life.




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