Microdiskectomy: Anatomy, Step by Step Procedure, Risks, Recovery, and Restrictions
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- เผยแพร่เมื่อ 9 มิ.ย. 2024
- **CLICK SHOW MORE FOR IMPORTANT ADDITIONAL DETAILS**
Hello friends, today I'm bringing you a video overview of the lumbar microdiskectomy. This is the most common minimally invasive surgical procedure I perform on patients with herniated disks.
I'm a board certified orthopedic spine surgeon proudly serving the people of the Bradenton/Sarasota/Lakewood Ranch, FL area in a multi-specialty orthopedic group called 360 Orthopedics (www.360-orthopedics.com).
Timestamps:
00:00 - Intro
00:48 - Anatomy
04:01 - Surgical Procedure Steps
10:28 - Risks, Recovery, Restrictions,
16:15 - Conclusion
For A Consultation:
- Please call 360 Orthopedics at 941-360-2233 and ask for Dr. Armaghani
- Go to www.ArmaghaniSpine.com and click "Book An Appointment"
Office Locations - 360 Orthopedics
1. 5985 Silver Falls Run, Suite 101,
Lakewood Ranch, FL, 34202
2. 2750 Bahia Vista St, Suite 100
Sarasota, FL, 34239
Other Related Videos:
Lumbar Disk Herniation - • Lumbar Disk Herniation...
Websites:
www.ArmaghaniSpine.com
www.360-orthopedics.com/sheya...
Other Platforms:
Twitter: / armaghanispine
Facebook: / armaghanispine
The content on this TH-cam video and channel, including, but not limited to, the text, graphics, images, links, and other materials are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and does not constitute medical or other professional advice. Dr. Armaghani does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the website. Reliance on any information provided herein is solely at your own risk. The information provided on all websites associated with Dr. Armaghani, including www.ArmaghaniSpine.com, is designed to support, not replace, the relationship that exists between patient/site visitor and his/her physician. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this TH-cam page or on www.ArmaghaniSpine.com. - วิทยาศาสตร์และเทคโนโลยี
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I had this procedure done in 2003. It changed my life for the better! When I woke up from surgery, the pain was gone. When the sedative wore off, I found that my spinal muscles were tight from 15 years of being in mild spasm. Took about three months of stretching exercises to be back to 100 percent. I've had no relapse. I'm doing great. Life is good!
I am 20years old and had this procedure yesterday. My low back hurts .
Thank you so much sir , for sharing your experience .
@@ankanghosh4293 I hope it goes well for you in the future. My advice is to wait two to four weeks. Then do piriformis stretches while laying flat on your back. Never do stretches where you rotate your back. Never!
Thank you for sharing!
@@xrcr12x why not rotate and stretch?
@@nobleroofinggeneralcontrac7961 Stretches, done carefully, are good. It is the rotating that can cause the inner, soft disc material to squeeze out and put pressure on the nerve root. I destroyed my back when I was a construction worker. Unloading a big truck. Lifting, rotating and stacking. I wish my verbal skills were better so I could explain why the rotating is so bad for the disc. Glad to try to answer any questions I can, if you care.
I have had 2 back surgery. I have never heard back surgery explained so deeply. Ty.
I just had this done at L4/L5 last week. My surgeon was good, but didn’t explain in as much detail as this. Thank you
How u feeling?! Who was your doc?
I've been struggling with the sciatica-like pain for a year now. After exhausting all the conservative treatment options (PT, epidural steroid shot), I am finally getting scheduled for this surgery. I'm only 38 but have been walking with a cane for a year because of the L4-L5, and L5-S1 discs herniation. I am nervous but also can't wait to get some relief!
I LOVE that there are videos of medical procedures on YT because I am super fascinated with the body and what things look like inside.
Thank you for sharing this information and educating the masses!
I’ve got a double herniation in both L4-L5 and L5-S1 aswell, I’m only 19 and I’ve had it for 9 months now. Feel like a cripple with a 4 foot rod up my ass when I walk. Getting a steroid shot in the next week or 2 but assuming surgery is in order. I hope the best for your recovery and hope that I can do the same
@@petrolmonkey1973 Thank you! I went through the microdiscectomy and it seems to have worked for me. I had a decrease in pain level - from a 10 to maybe 3 or 4. The first 4 weeks of recovery sucked so bad though because I was back at a 9 or 10. The doctor told me that this is because they have gone in and moved stuff around, which means that we have irritated the nerves and stuff. It's now week 8 and I only feel the pain if I've overexerted myself - which at this stage means a 5 minute walk, and a 10 minute standing non-stop. It's not a lot but I'm going to PT which seems to be helping... Thanks for the well wishes! I hope that steroids will work for you. The first one worked ok for me, the second was so-so, and the third one made it WORSE. So I was a candidate for surgery... Hope that you don't need surgery. While it has helped my issue, I still wouldn't recommend it if possible! Good luck to you!
I have the same situation as you, herniated disc, L5-S1 with sciatica on right side all the way to my foot for about a year now. I did all the things, including harp therapy interestingly enough. I never got shots because docs agreed they wouldn't help.
The herniation doubled in last 6 months, so
I was scheduled for microdiscectomy surgery in record time-2 weeks. It was canceled on the spot because of equipment issues. I got all the way to the OR and even 1st dose of anesthesia so I was this close. 🤏
I've never felt more anxious and scared in my life. It's rescheduled for 2 weeks from now and I'm not looking forward to the emotional roller coaster the night before. It was so bad that I'm actually considering not even doing it. I was pacing and crying all night. Zero sleep.
I'm still very anxious, so I'm looking online to help understand risks and some perspective. This video helped a little, but not really. It's very detailed with visual, which is good, but how did he replace the bone he drilled out? What happens if fluid leaks and symptoms of that? What permanent issues from nerve damage?
What can I do to deal with the emotional part of it besides positive thoughts and breathing techniques? Praying and talking to God helps me.
I'm so scatter-brained tho.I feel like I'm rambling on and I don't even remember why I wanted to comment.
I hope all goes well for you as most people post positive outcomes from a microdiscectomy.
Much love and God bless ❤
This is so helpful! Your explanations are concise and clear. I’ve worked with many doctors who could do well to watch this for their patient communications. Thank you.
Thank you so much, Jessica.
I’m lying in bed load op. I really appreciate the thougrough explanation. Im an analytical person and I really appreciated the way you explained wirh before and after. I had a too basic explanation prior to which was fine but I am the type of person that really appreciates this type of explanation. Thank you so much!
Wow… im speechless, dr. Thank you so much for these videos. They are so informative and visual its just unbelievable.
Im dealing with herniating disks, tingling and numbness in my leg and currently going through the PT. Cortisone shots and even a surgery might be a thing in a near future.
Watching these videos tremendously helped me to understand the mechanics and the complexity of the surgery.
Thank you and keep up a great work
You're most welcome. Good luck!
How can i be able to reach the Dr.
Great video! Had this surgery 6 weeks ago and glad I watched this
You have no idea how much you have been helping me with your videos! Thank you for sharing your knowledge ❤
Happy to help!
Thank you very much. I’m a doctor about to have this procedure. This is a fabulous explanation.
Thank you Dr. This presentation was so easy to understand. Keep up the good work
Glad it was helpful!
Thanks so much for explaining this! I’ve only had pain 2 months 34F and can’t wait for my procedure. I feel more comfortable knowing all the info.
Glad it was helpful!
Excellent to finally see what my surgeon did! Very informative information! Thank you.
Glad it was helpful!
Thank you for making this available for us.
Thank you so much for your video. It was clear and easy to understand
This is the best video yet explaining the surgery thank you very much
thanks much!
Fantastic explanation Dr. Listening for the third time ❤. Very useful n very useful
Thank you so very much Dr. Armaghani, your input on this matter has been very helpful. Next step, afford the procedure *.*
I think you are the only honest neurosurgeon I have ever heard speak, thank you.
Thank you, Mr. Turner. I try to be as upfront and clear with expectations as possible since there is really nothing "routine" about spine surgery. My philosophy is to lay out all the risks and allow the patient to make the best decision for themselves given the risks and benefits. The risk/benefit ratio varies greatly from patient to patient.
@@ArmaghaniSpine Thank you for your response, as long the decision to go forward or not is the patients decision, you are one of the very few neurosurgeon's in America who still alow that.
@@backhoe I just found out I have a L5 s1 disc bulge to the left. I have back pain when I sit but no leg pain. Do u have a disc bulge/ back pain or only leg pain. Also I only hurt when I sit not when I'm trying to sleep. Did you heal up completely? If so how long did it take and what did u do to heal ? Please help 😊🙃 also my back used to get tight when I lay down for bed but since I started back exercises 4 weeks ago. It doesn't get tight when I lay down only when I drive or sit. Are u 100% healed or do u still have back pain? Did u get surgery? Are you having any complications after surgery?
@@freestylebully4849 I have a bulging disk and a ruptured disk I'm still waiting on surgery but I have found a surgeon he said I need a discectomy on two disk and a laminectomy on the same two s1 l5 l5 l4 he discovered I need stents put in both legs before I can get my back surgery also discovered I have a aneurysm in one of my legs main arteries so I guess it could have saved my life I'm waiting on a phone call from a vascular surgeon to get the stents put in before I can get the back surgery but the surgeon said it should not be a problem to fix my back, good luck with yours.
@@backhoe thanks for replying I hope you have a speedy recovery 😊
Thank you for overview, as always very thorough.🙂
Excellent overview.
Excellent presentation
This is so detailed and so good!! Thank you Doc!!!
thanks for the kind words!
I got the discectomy surgery 2 months ago. Great informative video. Thanks so much Dr. Keep up your hard work. Appreciate it!
Much appreciated!
How did it go?? Feeling better? My sciatica is hell right now
how are you feeling since?
Very informative!
The recovery part well explained.
Thank you
Glad it was helpful!
I had mine two weeks ago and I spend four days at the hospital. I was admitted the day before the surgery. After the surgery I had to spend the night in the ICU regardless of my condition, and I did not have any complications after the surgery. The physical therapist came to me the next day after the surgery and taught me how to get out of the bed properly , get dressed and what kind of exercise to do etc. The doctor came every morning to change the bandage and monitor the healing process. When I was discharged a medical professional changed my bandage every three days to prevent any post surgery complications. But I guess every country has different guidelines.
Really great video! It answered a lot of my questions. TY!
You're welcome!
Astoniahingly amazing dr. Ever who solved all my worries post op. Stay blessed
Great explanation! Thank you
Thank you for making me fell better about getting this surgery. Dealing with extreme pain for 15+ years. Can’t take it anymore.
You're most welcome
Wow! 15 years. I'm 7 months and it seems like 7 years. Unbearable. How have you gone 15 years? Yikes! Did you have the surgery? If so, how are you doing?
Most helpful video i have watched. Thanks Doc
you're most welcome
Watching this 4h after my surgery, thank you for the explanation ❤
best of luck!
Very helpful. Dr Google is great.
Having this next month. Never been so excited in my life to have a surgery. Been in debilitating pain for 6 months. I'm just ready for some relief and to start to heal even if nerves take a year to heal. Thank you for the video
Good luck, Mariah!
How do you feel Mariah, after the procedure - I am planning to have the same next week.
@@shyambalani3971 I feel great!! Recovery was a bit hard...lots of muscle pain from the surgery itself,but all presurgery pain was gone!! I am still experiencing some nerve pain in my leg,but with physical therapy it is improving again nothing like it was presurgery.
Follow your doctor's orders!! Slow and steady while recovering. I dont have any regrets having surgery done. It gave me my life back. Best of luck to you!!!
@@mariaharcher-vanhemert1018 I just found out I have a L5 s1 disc bulge to the left. I have back pain when I sit but no leg pain. Do u have a disc bulge/ back pain or only leg pain. Also I only hurt when I sit not when I'm trying to sleep. Did you heal up completely? If so how long did it take and what did u do to heal ? Please help 😊🙃 also my back used to get tight when I lay down for bed but since I started back exercises 4 weeks ago. It doesn't get tight when I lay down only when I drive or sit. Are u 100% healed or do u still have back pain?? Are you having any complications after surgery?
@@freestylebully4849 sorry about your back!! Back pain is the worse. I was a complete herniation at my L4,L5 AND S1. By the time I had surgery I could barely hold my torso up while walking and dragged my leg. I'm only 36 and walked worse then my grandma. The pain was absolutely terrible. Pain meds weren't effective. Before surgery I tried everything. Physical therapy, injections, pain meds and ever deep tissue massage. Nothing worked. I went 8 months like that. I went from being active every single day to barely being able to leave my bed. At the time of surgery I was willing to do anything. If they would have said we need to amputate your leg I probably would have done it. I was seriously suffering. To answer your question I did have back pain when it first started. And that lasted a bit before it turned into the right leg pain. The the pain in the leg was so intense I didn't notice back pain much. Other then when I was sitting. Surgery went good. I woke up with zero presurgery pain. The only pain I had was pain from surgery itself. I dont regret it because I did get relief. Recovery wise I took things really slow because I was so afraid of messing something up. I did physical therapy. However in march my pain began again. It started again in the lower back and now my leg pain is back. Physical therapy stopped working with me last week because they think I reherniated. Doctor ordered a new MRI and I did that yesterday. Now waiting on results and to see my doctor again. I am hopeful I didn't reherniate,but the pain tells me I may have. My doctor was very upfront and hoesnt that these surgeries arent 100 percent bullet proof and there is always a risk of reherniation. My surgery pain went away about a week after surgery and my incision was probably fully healed about 2/3 weeks after surgery. Best of luck to you on this journey!!!!!
Very clear explanation.I am waiting to have the surgery,this helped me understand the procedure well. Thank you
best of luck!
Cannot wait till May 31st to have this done!!! I haven't slept on my back since September 2021 🤦♀️ dr. Armaghani had me crying tears of joy this past Thursday 🙌🙌🙌
you'll do great!
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This video is very useful. Thank you Dr.
You're welcome!
Fantastic explanation, thank you 🙏
You're very welcome!
That was great explanation. I finally found the answer about the time when disc itself heals (6 weeks). Thanks
Glad to hear! 6 weeks is about how long it takes for the hole where the disk extruded to fix scar over. The affected nerve, though, takes almost a year to heal as much as it can heal.
@@ArmaghaniSpinethe ring over Nucleus can heal after ?
Thank you very usfull and make me more confidence
Thank you for video. The video was excellent. Great job.
Glad you enjoyed it!
Much better!!! Still some mild numbness in thought and foot, but sensation is gradually returning; physical therapy is going well! Thank you for asking!
Great video Doctor, thanks!!!
My pleasure!
Thanks for a very informative video! I am in my 3rd week of recovery. The nerve damage caused a dropped foot, so I am already receiving physiotherapy treatment in conjunction with a daily exercise program.
@steganlagrange188 how are you doing today? Does dropped foot come heel pain?
@@karinwest919 Unfortunately I have not fully recovered yet. The nervous system takes its time! I experienced no pain. Sometimes just a tingling sensation on top of my foot.
@@stefanlagrange188 , thank you for taking the time to respond and let me know how you are doing!!
Very nice explanation ❤
Thank you Dr Armaghani for a thorough explanation, i have jad 2 discectomy both on my L5 S1, I had a reherniation for the same disc almost 2 years after the fist discectomy, my second herniation was way more painful, and the recovery time is linger compare to first one, im two weeks out of the second discectomy right now, still have some sciatica pain, and my glutes and hamstrings are sore to touch, my calves feels like i tear a muscle there, some tingling feeling in my foot
thank u!! i did the surgery yesterday and still on the hospital bed :)
Good luck!
Thank you so much for great explanation
Glad it was helpful!
Saying severe compression of lumbar nerves may cause 'discomfort' wins the understatement of the year award. 👨🦼 ♿
Outstanding videos, helped me finally understand a 20 yo surgery and one they want to do next.
I did not mean to say "discomfort" to downplay symptoms. I use the word "discomfort" because it can cover a lot of things that patients may experience such as numbness, tingling, burning, stabbing etc. I used to use "pain" early in my career but realized that patients would frequently say no it doesn't hurt it tingles (for example). I've found that "discomfort" covers all those basis and allows the patient to describe better for me what they are feeling. The discomfort from a disk can be quite brutal and bring even the toughest ppl to the hospital!
Great presentation.
Thank you!
Thank you for an excellent video. No fusion necessary because so little bone is removed? Can this procedure be done on a cervical disc?
Great video and i don't even have any questions because i found my answers in the comments you replied to. Thanks for the video and for answering everyones' questions. I was just referred to a surgeon yesterday by my pain management doctor and am waiting for a call from them. I have not 1 but 2 severely bulging discs. One affecting my left and the other my right side, plus synovial cysts and arthritis 😬🤦♂️
Glad I could help! Good luck!
Thanks for the video I’m getting this surgery in two days. Will post videos on my channel about the experience 🤞🙏
Good luck!
How it go?
Wow well explained video 🙏🏼
Glad you liked it
I had my Microdiskectomy done 2 weeks ago. This is a very useful video explaining clearly on Microdiskectomy helping me to understand the crucial recovery process. Thanks
good luck in your recovery!
how are you going since ?
I’m six days postop and was really feeling hopeless because I’m having difficulty controlling the pain. Your thorough explanation has given me so much emotional relief!!!! Especially the part about good days and bad days! 3 days post op I was pain free, but on day four I had to take narcotics which I had not been doing the day before! You have given me so much reassurance; I can’t thank you enough!!! I think having this information is going to help my healing as it has really taken the fear factor out of the equation. I’m a retired nurse; and I think we (nurses) always tend to overthink anything we don’t entirely understand. Thank you so much🙏🙏🙏
How are you now a few week post op? I hope feeling somewhat better.
Are you still alive?
Thank you for this video
most welcome!
Extremely useful video. Thank you for taking the time to make it. I had a microdiscectomy five days ago. Just like you, my surgeon mentioned mild pain after and possibly not needing opioids. Given that mentality, I went home without the correct pain management plan and got stuck in bed due to extreme pain and could not move. I know everyone is different but it seems like surgeons like to optimistically downplay pain often, which in my case led to a fairly traumatic experience.
Sorry to hear. Everyone reacts to pain differently especially within the first few days of surgery. We encourage over the counter medication but always send patients home with prescription pain medication for break through pain that isn't covered by the over the counter stuff.
How do you feel now? I am planning to have the same next week.
@@shyambalani3971 I just found out I have a L5 s1 disc bulge to the left. I have back pain when I sit but no leg pain. Do u have a disc bulge/ back pain or only leg pain. Also I only hurt when I sit not when I'm trying to sleep. Did you heal up completely? If so how long did it take and what did u do to heal ? Please help 😊🙃 also my back used to get tight when I lay down for bed but since I started back exercises 4 weeks ago. It doesn't get tight when I lay down only when I drive or sit. Are u 100% healed or do u still have back pain? Did u get surgery? Are you having any complications after surgery?
Surgeons downplay this operation so much. Everyone should be given meds like oxycodone and stool softener to prepare for post op pain. Have the meds and not need them vs. not have them and need them. Back surgery, even this seemingly less invasive surgery is very hard on the body. Surgeon sell this procedure because it's easy $. When they say you will only need Tylenol..... Sound too good to be true? I've had this surgery twice and I'm 35, and I've came out hurting worst both times. Be careful, it's not fun if your surgeon says it's easy. Armaghani did very well in this video. Way better than my two surgeons did for me. I appreciate this video very much because it explained the steps taken and has decent depictions of the approach and tools. Only thing is, what happens if there are complications like finding spinal fluid leaks or tears of the durnal or engorged veins. That's where the surgeons keep a tight lip and might not even tell you their findings... They're very concealing of the hard parts of this procedure and then you end with a lower quality of life forever. 10% unsuccessful rate is what they say, and I greatly disagree with that number. I'm just a person, not a doctor, it's my opinion, it's my experience from receiving this procedure twice. These surgeon (in majority) have never had the procedure done to them so how exactly could they have such confidence in post operation patient experience? I can absorb fake news all day doesn't make me have more experience on war or politics or anything of the topic. First hand experience is more powerful than a compilation of he said she said results. Most surgeon won't answer the phone or emails after the surgery, your only communication is with the nurse (who is overwhelmed and underpaid and most likely gonna give you cookie cutter answers). You'll see the surgeon for two 15 minute post op meetings and the surgeon will overly smile and giving good vibes so you don't have the chance to change the happy mood they are trying to set. If you say anything negative, they're gonna tell you, "just wait another 12 months then you'll feel better and fully healed".... If you don't feel better within the first 3 months from this simple low invasive procedure as they advertise, it's likely the results are the results. If your pain is gone then great! If it's there and morphed into something else, your likely gonna stay like that until further evaluation and rediagnosis.
Same here. Just had mines and they don't want to adequately address pain anymore because of misuse! Sad I have to sit in pain because of others actions! They know Tylenol doesn't help AT ALL!!
Thanks for this video, very helpful. Why does plucking out the disc herniation cause scarring? Maybe a silly question but is it because it’s ripping it off and causing bleeding
My weeks of googling all answered in one video and much better👍
Glad it helped!
Thank you
Dear Dr, fantastic explanation. Just got operated last week. Healing is quite fast. After seeing your video, all my stress is gone🥰. Feeling so happy to see your video. Excellent n I’m really excited. All the best ❤. God bless
Hey how is it going now ?
@@abhilashjose8480 going very good. Feeling that I should have done my operations three four months back. I got operated on 12th Dec 2023. Six weeks are over now. All my pain n operations related pain has gone 🙏👍
Very informative video thank you doctor. I have a mild herniated disc slight bulge. I have leg pain it was as 9 out of 10. I was offered to get a steroid epidural injection or this surgery I choose the injection the pain went down to a 6 now. I was told to do lots of cardio lose weight and stop lifting for 6 weeks but the million dollar question is the doctor nurse won't tell me if it will heal on its own or how long will It take to heal but they offered surgery but I'm really trying to avoid it. But I'm very glad u been very specific on this surgery because I'm starting to consider it.
Get this surgery asap to avoid permanent nerve damage!
Hi Dr, Thank you very much for the detail explanation - lucky to find this video , I had my surgery a week back and recovering, leg pain issue seems to have subsided majorly , however I am experiencing unbearable upper back ache along the back ribs , I have been noticing this from past 4 months , ( this pain comes early mornings after 6 hrs of continuous sleep , ) checked with lot of ppl , but no one has any answers for it 😓), any idea what this is actually . I was assuming that this upper back ache would go away with the surgery, but it doesn’t seem to be the case
Try sleeping on the floor with soft padded thin mattress. It may be uncomfortable the first day or two but you'll notice significant natural alignment from top to bottom. Let your body find it's natural comfortable sleeping positions throughout the night either on your back and switch from side to side. The firmness of the surface will allow your body to align.
What happened to the bone remove? Does it have effect in the future?
Your video is great👏👏👏👏
Many many thanks
Verry good and proffesional movie. Now I can imagine what awaits me soon.
Thank you!
Outstanding Sir, thank you! Been in severe pain for a year with l4/l5. Sods law, surgery next week scheduled but the pain in subsiding and numbeness much better. Think i need to put surgery off now.....
Did you put surgery off? Whatever you decided, hope you're feeling much better.
I'm scheduled in a few weeks. Been dealing with pain unchanged for 7 months and the past week, pain has lessened...what to do, what to do? Pain was terribly intense and I have difficulty with standing and walking.
@@brucefields867 hi there, I had my surgery deferred for 6 weeks when I went for the pre-op. Since the pre-op lasts for up to 3 months it made sense to see if I improved. My surgeon agreed this was the logical approach . I have now declined the surgery. I still have slight pain In my back that travels down my leg but nothing near the severity that I had. I have my full mobility now thankfully. My advice, if you feel you are on the mend then delay. I hear so much BS that physio fixes disc herniation but it doesn’t. Sometimes “time is the healer of all wounds” If you have endured this long, give it a bit more time. If I’m honest, if I had the option, would have taken the op at month 3 but couldn’t get date. Since I had no option to wait so long, body started it’s own healing process. My MRI showed significant, large herniation l4/l5 with Cauda Equina compression , thinking the disc material has been re absorbed. I know that the root nerves are no longer severely compressed as no numbness and can lift my left leg high from lying position. I may just have some residual nerve pain/damage due to long term compression. As I said, pain is bearable and liveable, unlike before. Failed back surgery scares me.
Hi Doctor, your vedio is very helpful and so clear. I should have watch your vedio before my surgery. So, I can very careful post surgery. But I just found out now. I had done decompressive hemilaminectomy with discectomy on rigjt L5/S1 six weeks ago. As soon as I had surgery my right leg feels free but the little numbness left. After 4weeks I did normal activity and drive the car. But I started feel pain burning sensation from the butt through the leg and numbness on the little toe. I am worry now. What can happen to me? Do I need another surgery? I feel like my happinest took away now. Plesase advise what should I do? Does disc herniation again? Thanks! for your vedio.
thank you v informative
So nice of you
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I have back stiffness which lasted now for more than 7 weeks after microdiskectomy. I can not pick up any thing belwo the level of my knees. I can not pend forward but I can bend backward. Also I still have back pain. I have abnormal posure anterior pelvic tilt.
Is this part of the natural history of recovery or I should seek medical advice.
Amazing video
I had this leg pain and lower back weakness since 2013. I have visited different Drs had medicines for like 3 4 years yet couldn’t help. And after that I started physical activities again volleyball and badminton. My case is now if I sit for a long time or if I don’t do any sports that day I feel pain. But I’m not taking any pain killers or any other substances . I’m 34 by the way. I know it will get worse around 40 or 45 yet the Drs saying don’t go for surgery if you are ok with the pain
Thank you!
I have been having this pain for about 11 years now, after my MRI scan the result showed. L4/5 and L5/S1 posterior disc bulges with bilateral neuroforaminal stenosis. What should i do Dr?
Are there any negative side effects from the removal of the ligamentum flavum such as spine destabilisation? Thanks
Hello, in what circumstances is laminectomy needed for a discectomy? is this a more traditional method or is it needed in certain circumstances over more minimally based procedures? I had a discectomy with laminectomy at l4-l5, I'm five months post surgery and my range of motion is limited with pain, and my gait has changed. I feel unstable, is the best way i can describe it; cannot run or jump as of yet and cannot pick anything heavy up, not by choice. also my spine feels bruised above the levels that were worked on. Any advice would be greatly appreciated or general advice on what in your opinion can be possibly going. thank you.
Hi your video was so helpful thank you, I was wondering if you do surgery in Sydney?
Thank you for the kind words. Only Orlando, FL area.
Please demonstrate safe way of removal of ligamentum flavum. Any tip and trick. Will be helpful if you can show in live surgery or cadever. Thank you
I like to thin out the superior lamina of the level below about 3mm from the tip. I then remove bone from the lamina above up to the point where i see epidural fat peaking out from under the ligament. I then use a curved curette to develop that plane between the under surface of the lamina above to release the ligament from that under surface and then when i am in that plane, i flip the curette 180 degrees so that it is now facing caudal towards the superior lamina of the level below. I then move the curette towards that superior lamina creating a rent that goes cranial to caudal within the ligamentum flavum. When i get to the undersurface of the superior lamina of the level below i am able to break through that small thinned portion and that releases the ligament caudally. with the ligament now released cranially as well as caudally, I can pull it towards me and i use a kerrosin to complete the resection laterally.
Thank you sir
Welcome!
Very professional, thank you for your dedication doc😊
I’m 22, got a bulge disc at L3-4 and my back feels painful. If I do this surgery, will the annulus of disc be as strong as it use to be? I see from lots of video, showing the disc annulus will be very thin after that. I’m afraid it’s too vulnerable to carry on normal life.
How u feel today and what u did , we are same age same problem
How do you get to the herniated disk if it is compressing the exiting L5 nerve? The procedure you described seems to address stenosis on the spinal canal. I'm curious to know how this procedure is different if the herniation is more to the side and compressing the L5 nerve only as it exits. My pain is specifically on the right L5 nerve, buttock, side of thigh to front right portion of shin and I have numbness in the ball of my foot and 3 middle toes as well as inside of big toe. Thank you.
Hi dr. Your videos are so helpful.
I just want know. i had disc bulge l5S1 and had microdiscactomy surgery. Its been more than 6 weeks . still i have tingling numbness in my both cuff and feet burning sensations on both side as before surgery. Or it might be stenosis . What should i do . Please suggest me.
Thank you
In general, nerves take a long time to recover after surgery. Up to a year. During that time patient's can feel many different things during the course of their recovery. I'd discuss the concerns with your surgeon but hang in there!
I’m considering this procedure for a prolapse disc L4/L5.
I’ve been told it’s bulging from the centre and causing pain across the lower back in an area the size of a small dinner plate.
Would the disc bulging being central cause any surgical complications?
Thanks
Hey Doc, had this done 4 days ago, my leg still stings when I get into bed via log roll method. Back feels tight and I walk like I’m 90. How much more time it will take me to be ok?
Is ultrasound tool available to perform microdiskectomy?
Great information. Currently I had an ortho recommend surgery and a neuro suggested epideral or remaining PT. I've been in pain for four months and PT for 2 months. The disc takes 4 to 6 months to fully reabsorb. I want to avoid all procedures and stay on PT considering long term effects.
I think you did the right thing, Anthony. You got a couple opinions and weighed the risks and benefits yourself and came up with a decision that you are most comfortable with for you and your family. Surgery is always an option at the end and some people come to that decision quicker than others (and sometimes people never reach that threshold).
Hi ...did your disc issue resolve on its own?
Had this surgery today now watching it this was the worst pain of my life hopefully I’ll make a full recovery n go back to my normal life soon
how are you?
?
@@stefanmarkovic1709 after year and half I’m still suffering with pain saddle area still numb still can’t digest food properly and most importantly can’t get erected
@@luqmanlatif1358 im so sorry to hear that , how old were u when u had this procedure
I have osteoporosis and spine injuries,I have slipped discs,would a microdiscectomy help me
Thank you Doctor, my surgeon showed be huge screws that would be used to hold the discs into place and that scared me that i did go back for the op.
The screws can be big but are necessary to realign the bones if needed. good luck!
@@ArmaghaniSpine thank you for replying.
Does the ligamentum flavum grow back on its own? How is your back okay without having it anymore?
Hello and thank you for your Illustrations.
Just a question: if a patient has two herniated disc in 2 consecutive levels ( L4/L5 and L5/S1) can microdiscectomy on both discs be performed on one operation setting? Is it also possible to perform 2 laminotomies on these 2 different levels or will it cause spinal dynamic instability which requires a fusion operation in the very first place?
Thanks in advance for your response.
Great question. Yes, both can be addressed in the same setting if they are both causing symptoms. Sometimes one is much bigger than the other and we just operate on the one we believe is symptomatic. Doing a unilateral laminotomy doesn't affect stability too much. The chances of reoperation following a laminotomy and diskectomy runs about 10-20% lifetime so it isn't too risky in terms of reoperations.
Hi I got disceptomy too a month ago. I used to train brazilian jiu jitsu everyday. After OP, my leg pain was immediately gone. Some numbness lingers still. I do lots of air squats. I hope to go back to Tatami soon.
Typically most surgeons let patients get back to their normal activities after 6 weeks. good luck!
Hallo dr
I had Microdiscectomy surgery about 10 days ago .. I have now more pain in leg then before the surgery surgery ..
How are u feeling now?
Very interesting procedure and video, Shame that he is in Fla. and I am in Pa. I have had 4 previous back surgeries, two were to repair the Dura due to a spinal fluid leak. Currently, I have another disc herniation with 24 hr non-stop pain, it actually feels like I'm walking on a broken hip which extends into the groin and leg, I haven't had any quality of life in two years. Hopefully, this technology will expand and becomes a procedure that more surgeons adopt.
sorry to hear but good luck to you. A good friend of mine Dr. Jesse Bible works in Hershey, PA and is excellent if you are looking for a second opinion.
I have mild bulge in l4 l5 and s1, does stem cell therapy works for disk bulge
Dr explained very well. I had spine surgery 2 days ago and got all answers of my spine surgery. I had pain in right leg after surgery pain is gone but i have little bit numbness in my left leg i dont understand why ? Can you please tell me why i am felling numbness in my left leg and right leg is 100% fine.
Hi does the hole in bone get recover back ?
This was an extremely helpful video. Thank you very much. My question is, my doctor recommended and sent a referral to a Neurosurgeon for this surgery and not a Orthopaedic surgeon. Who should I be seeing?
Very common question. The techniques employed by orthopedic spine surgeons and neuro spine surgeons are the same. There is no difference in technique just subtle differences in training. There are fantastic ortho spine surgeons and fantastic neuro spine surgeons. There are also ones from both sides that aren't so great. Go with whoever you feel most comfortable with as there is no difference in techniques.
@@ArmaghaniSpine thank you so very much for replying. I truly appreciate you. Thank you so much. Happy Holidays. God bless
@@bloodbath08 I just found out I have a L5 s1 disc bulge to the left. I have back pain when I sit but no leg pain. Do u have a disc bulge/ back pain or only leg pain. Also I only hurt when I sit not when I'm trying to sleep. Did you heal up completely? If so how long did it take and what did u do to heal ? Please help 😊🙃 also my back used to get tight when I lay down for bed but since I started back exercises 4 weeks ago. It doesn't get tight when I lay down only when I drive or sit. Are u 100% healed or do u still have back pain? Did u get surgery? Are you having any complications after surgery?
I'm having this surgery after 3y of moderate-severe back pain. I work as a Software Engineer and sitting is a large part of my work, I also drive a lot for it. Will this impact recovery after surgery and what can I best do to mitigate it?
I had it done 3 weeks ago what a relief just healing now the pain was so great I screamed to sit or walk ..had my surgery done at riverside hospital columbus ohio
hope you did well!
When can i start drive again after lumber microdiscectomy ?