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Discectomy Explained: Why Orthopedic Surgeons Recommend It and What to Expect

orthopedic surgeon performing discectomy on a patient
A discectomy is a common surgical procedure recommended by orthopedic surgeons to relieve back pain caused by herniated discs. Discover why it's performed, what the procedure involves, and what you can expect during recovery in this comprehensive guide.

What is a Discectomy?

A discectomy is a surgical procedure performed by an orthopedic surgeon to relieve pressure on a nerve root or the spinal cord caused by a herniated disc. A herniated disc occurs when the soft, gel-like interior of a spinal disc protrudes through its tough outer layer. This often results in pain, numbness, or weakness, which can significantly affect one’s quality of life.

Orthopedic surgeons are specialized in spine-related surgeries and are particularly skilled in performing discectomies. By removing part or all of the damaged disc, an orthopedic surgeon can help alleviate symptoms, allowing patients to return to a pain-free life.

areas where discectomy can be operated

Why Do Orthopedic Surgeons Recommend a Discectomy?

Orthopedic surgeons recommend a discectomy for several reasons. Primarily, they see it as a reliable solution for patients who have not responded to non-surgical treatments like physical therapy, medication, or injections. Here are some key reasons why an orthopedic surgeon might suggest a discectomy:

1.Persistent Pain and Discomfort

If a patient’s pain does not improve after several months of non-surgical treatment, an orthopedic surgeon may recommend a discectomy to provide relief.

2.Nerve Compression Symptoms

When a herniated disc compresses the spinal nerves, it can cause symptoms like numbness or weakness in the legs. An orthopedic surgeon will often recommend a discectomy if these symptoms worsen.

3.Risk of Permanent Nerve Damage

Prolonged compression on the spinal nerves can lead to permanent damage. To prevent this, an orthopedic surgeon may suggest a discectomy to remove the herniated disc material and relieve pressure on the nerves.

4.Restoring Quality of Life

Severe back or leg pain can affect every aspect of a patient’s daily life. They see discectomy as a way to improve quality of life for patients whose discomfort impacts their mobility or ability to work.

 

orthopedic surgeon preparing patient for a discectomy

What to Expect from a Discectomy Procedure

If an orthopedic surgeon has recommended a discectomy, it’s natural to have questions about what the procedure entails. Here’s an overview of what patients can expect: 

1.Pre-Surgery Consultation with an Orthopedic Surgeon

Before the surgery, the orthopedic surgeon will review the patient’s medical history, symptoms, and any previous treatments. Imaging tests, like an MRI or CT scan, are often ordered to identify the exact location of the herniated disc.

2.The Surgical Procedure

During the discectomy, the orthopedic surgeon will make a small incision near the affected area of the spine. Through this incision, they carefully remove the part of the disc that is pressing on the nerve. In some cases, the entire disc may be removed, and  might recommend additional procedures, such as spinal fusion, to stabilize the spine.

3.Minimally Invasive Options

Some orthopedic surgeons perform minimally invasive discectomies, which involve smaller incisions and less muscle disruption. This approach often leads to faster recovery times and reduced post-operative pain.

4.Post-Surgery Recovery

After a discectomy, patients typically experience immediate relief from symptoms, though some soreness around the surgical site is common. They will provide guidance on activity restrictions and physical therapy exercises to help patients recover safely.

5.Follow-Up Visits with the Orthopedic Surgeon

Follow-up appointments are essential to monitor the healing process. They will assess the recovery and make recommendations to prevent future spine issues.

Are There Risks Involved?

Like any surgery, a discectomy has some risks. However, orthopedic surgeons are highly trained in performing this procedure safely and effectively. Potential risks include infection, nerve damage, or recurrence of herniation, but these are relatively rare when an experienced  surgeon performs the surgery.

experienced orthopedic surgeons avoiding risks in surgery

A discectomy can be life-changing for individuals who have struggled with persistent pain and nerve compression symptoms. By consulting an orthopedic surgeon, patients gain access to specialized care that can make a significant difference in their quality of life. An orthopedic surgeon’s skill and experience are crucial for achieving the best possible outcomes in spine surgery. If you’re experiencing chronic back or leg pain, consider consulting an orthopedic surgeon to see if a discectomy might be the solution for you.

In summary, an orthopedic surgeon can help you regain comfort, mobility, and a higher quality of life through advanced procedures like discectomy. Don’t hesitate to seek expert advice and explore your options with a qualified orthopedic surgeon.

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