अपने आप बिना कुछ किये स्लिप डिस्क कैसे हो जाती है? how slip disc happen without any Injury & how to treat it, Video by Dr Hitesh Garg
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Do you know that more than 95% of the cases of slip disc can be treated without surgery. Even if surgery is needed, the surgery can now be done in an advanced minimally invasive manner under neuromonitoring control with more than 98% success rate.
Are you suffering from any of the following problems?
Low back pain
Radiating pain starting from back or buttock and going into legs
Sharp shooting type of pain, electric shock like pain, burning type pain, stabbing pain or muscle ache in the leg
Numbness in the legs
Heaviness in the legs
Weakness in the legs
Heaviness or weakness or pain in the legs which comes after walking for some distance
Sciatica
Whenever a patient of disc prolapse , low back pain, sciatica , numbness or weakness of legs presents to us, a detailed clinical assessment of the patient is done first. Detailed complaints of the patients are listened to find out the duration of complaints, frequency of complaints and we try to determine how has these complaints affected patient's quality of life.We formally calculate patients disability based on oswestry disability index. A detailed neurological examination of the patient is done to look for any muscle weakness or numbness in the legs.
The first line of treatment is usually physiotherapy, exercises
(Please go to our youtube channel or exercise page for details),
medicines and modification of lifestyle
(Please go to our youtube channel for details)
But still there are some patients who need surgery for disc prolapse and delaying surgery in these cases can be catastro
Who are the cases who will need surgery for lumbar disc prolapse
Patients having weakness in any of the major muscles of legs like ankle muscles (e.g. weakness in ankle dorsiflexors causing foot drop), knee muscles, hip muscles etc
Numbness in the foot or buttock or any part of the leg due to lumbar disc prolapse
Patient has severe sciatica pain despite trying 6 weeks to 3 months of conservative treatment
Frequent ( more than 3 per year usually) episodes of low back pain or sciatica making the patient bed ridden
Severe oswestry disability index means poor quality of life despite trying conservative treatment of more than 6 months
Urinary problems like hesitancy in starting urination, slowing of stream of urination, frequent urination, feeling of incomplete emptying
Constipation, straining while passing stools
Loss of control over passing urine and stools
Numbness in the pelvic area or around the genitals
When do patients of lumbar disc prolapse need surgery
Can The Disc Prolapse Be Treated With Spinal Injection:
There are 2 kinds of spinal injections that are given for disc prolapse
Facet injections : Whenever the disc slips, there is some strain or subluxation or inflammation in the joints of the spine known as facet joints. Giving steroid injections in these joints can relieve back pain temporarily for some time. If the patient strengthen his/her core muscles in this pain free period, then he/she can get lasting relief from pain
Epidural injections : In this procedure, a combination of steroid medicine and local anesthetic is given around the inflamed nerves. Whenever a disc slips and compresses the nerves, there is usually local inflammation around the nerves. Decreasing this inflammation with steroid medication can help to relieve the radiating pain. This pain relief may be temporary or permanent. Epidural injection can be tried before deciding for surgery, provided there is no neurological deficit
Types of surgeries
Lumbar Microdiscectomy
Microdiscectomy is a minimally invasive spine surgery which is performed through a 1 to 1.5 inch incision. In this surgery, the bone compressing over the nerve root or the disc from under the nerve root is removed under microscopic vision without damaging the normal musculoligamentous structures and joints and thus preserving spinal stability.
A microdiscectomy is more reliable in relieving leg pain than relieving back pain.
After a microdiscectomy procedure, usually leg pain is relieved immediately and patients usually go home on the same day or next day of surgery with significant pain relief.
If patient has weakness or numbness in the leg that usually takes some weeks or months to improve and may not improve fully in a few patients especially if surgery is done late after onset of weakness/numbness.
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