Living with a herniated disc can feel isolating and overwhelming. Many patients worry about whether surgery is their only path forward. Every case is unique, and so is the approach to treatment.
Are you wondering whether you need surgery for a herniated disc or if there are other treatments? This article will help you understand your choices and the next steps. We will also discuss surgical options for a herniated disc for those who need them.
Is Surgery Necessary for a Herniated Disc
The idea of surgery often raises anxiety for patients. The good news is that most herniated discs do not need surgery. For many individuals, conservative treatment is sufficient to provide relief and restore normal activity. However, a small percentage of patients with severe symptoms or nerve damage may require surgical intervention.
When Is Surgery Recommended
Surgery for a herniated disc is typically recommended when:
- Severe pain does not improve with non-surgical treatments after six to twelve weeks.
- Symptoms include significant muscle weakness or numbness.
- There is a loss of bladder or bowel control (a medical emergency called cauda equina syndrome).
- Neurological signs show that nerves are being compressed or damaged.
If you experience any of these symptoms, contact your doctor right away. So, when can you opt not to go with surgical procedures? You may not need surgery if:
- Your pain and symptoms are mild to moderate.
- Non-surgical treatments provide relief.
- You maintain the ability to perform daily tasks.
- Your doctor does not see signs of nerve damage.
Every patient is different, so your treatment plan should be tailored to your unique needs and health goals.
Non-Surgical Treatment Options for a Herniated Disc
Exploring all available treatments can give you peace of mind. Understanding both conservative and surgical options allows you to make informed decisions with your healthcare team.
Here are non-surgical treatments that can help:
1. Physical Therapy
Physical therapy is often the first line of treatment. A therapist will guide you through stretching and strengthening exercises that reduce pressure on the herniated disc.
Regular sessions can improve spine flexibility and posture, which often leads to reduced pain. Examples of therapy exercises include:
- Hamstring stretches
- Pelvic tilts
- Core strengthening routines
Your progress will depend on your commitment to following the recommended plan.
2. Medications
Your doctor may suggest medications to help control pain and inflammation. These often include:
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen
- Muscle relaxants for spasms
- Oral steroids for more severe inflammation
- Short-term use of prescription painkillers
Always use medications under a doctor’s care. Overuse can lead to side effects or dependency.
3. Spinal Injections
For some patients, epidural steroid injections reduce swelling and relieve nerve pain. The doctor injects medication near the herniated disc and irritated nerve. Most people feel relief within a few days, but injections are usually limited to a few times per year.
4. Lifestyle Modifications
Small changes in how you move and live can make a big impact. Your doctor or therapist may suggest:
- Limiting heavy lifting and repetitive bending
- Using proper techniques for lifting and posture
- Avoiding prolonged sitting
- Introducing low-impact aerobic exercise like walking or swimming
- Losing excess weight to reduce spinal pressure
Commitment to lifestyle adjustments adds up to better long-term outcomes.
Surgical Options for a Herniated Disc:
Here are some surgical options for a herniated disc:
1. Microdiscectomy
Microdiscectomy is the most common procedure to treat a herniated disc. The surgeon makes a small incision and removes the part of the disc pressing on the nerve.
This minimally invasive approach leads to shorter recovery times and less risk of complications. It is ideal for patients with:
- Persistent leg pain (sciatica)
- Weakness or numbness that does not improve with conservative treatments
- Confirmed nerve compression
2. Laminectomy
A laminectomy involves the removal of part of the bone (the lamina) covering the spinal canal. This expands the space in the spinal canal and relieves nerve pressure. Doctors may recommend this procedure if spinal stenosis is present in addition to a herniated disc.
3. Disc Replacement
Disc replacement surgery involves removing the damaged disc and replacing it with an artificial one. This procedure preserves more natural spine movement compared to spinal fusion. Doctors may suggest disc replacement in select patients who meet specific criteria.
4. Spinal Fusion
Spinal fusion involves joining two or more vertebrae together to stabilize the spine after disc removal. Surgeons use bone grafts, rods, or screws. This reduces flexibility in the fused section but increases long-term stability and reduces pain. Fusion is typically reserved for severe cases that do not respond to other treatments.
Surgical Options for a Herniated Disc in Plantation, FL
Choosing the best treatment for a herniated disc is about balancing relief, safety, and your life goals. Most patients find significant relief with non-surgical measures like physical therapy and medications. Lifestyle changes are also beneficial in certain cases. Surgical options for a herniated disc are reserved for those with severe symptoms. They are also recommended for those with clear evidence of nerve damage.
It is vital to choose a medical team with experience and expertise to help you make informed decisions. At Baylis and Brown Orthopedics, our board-certified and fellowship-trained orthopedic surgeon, Dr. Christopher Brown, brings advanced training and a patient-focused approach to herniated disc care.
For more information or to schedule your consultation with our provider, call Baylis and Brown Orthopedics at (954) 476-8800 or use our appointment request form.
Trust your spine to a team that puts your health and well-being first. We look forward to serving you!
Sources:
https://my.clevelandclinic.org/health/diseases/12768-herniated-disk
https://www.mayoclinic.org/tests-procedures/diskectomy/about/pac-20393837
https://www.mayoclinic.org/diseases-conditions/herniated-disk/diagnosis-treatment/drc-20354101
