In the examination of our patients, we look at the severity of pain and muscle strength. this guides us as to whether the patient's pain is from a real herniated disc or just a simple low back pain. In simple and new-onset low back pain, it is generally not necessary to take a film. MRI allows us to examine the interior of the lumbar spine in the form of sections and from different angles. In this way, it gives you a chance to see the size of the hernia and which nerves going to the legs it is compressing. Lumbar or lumbar spine X-rays are taken standing up, allowing us to examine the balance of the spine. With X-ray, waist curvatures and waist slips, which we call listezis, are examined. Lumbar MRI and X-ray examinations must be performed before deciding whether surgery is required. In our experience, preoperative x-rays enable to detect problems that may prevent the patient from being satisfied after hernia surgery and increase patient satisfaction.
How is the treatment of herniated disc? Is there a solution other than surgery?
Medical treatment and rest are recommended for simple low back pain and low back pain. We recommend exercise and physical therapy for long-term or intermittent low back pain. There are many pain treatment methods for low back pain that does not go away with standard physical therapy methods. The methods we apply in neurosurgery are epidural injection and RF nucleoplasty applications. epidural injection is applied to long-term low back pain. A sterile environment is required and steroid and anesthetic drugs are injected into the spinal canal with a special needle. Its effectiveness is high and it cuts the pain between 1 month and 6 months. If the patient complies with the programs we recommend, such as exercise program and weight loss, there may be a chance to get rid of the pain permanently. Since epidural injection is a steroid application, it should not be done more than 3 times. It is generally not successful in patients with leg pain and is only recommended for patients with low back and hip pain. RF nucleoplasty can be applied if there is mild or frequently recurring leg pain in mild lumbar hernia. This is a surgical method that is performed in the operating room under local anesthesia and accompanied by x-rays. The anatomy of every patient is not suitable for this procedure. As I said, correct patient selection is important in both techniques.
Should I Have Back Surgery And Which Is The Most Effective Type Of Surgery?
Surgery is recommended for patients with unbearable or severe back and leg pain that cannot be relieved by medication, and patients with loss of strength in the legs. Microsurgery is a minimal surgery. The hernia is cleaned under the microscope by entering the spine with a 2-3 cm incision. The duration of anesthesia is short. The patient is carried out on the same day and can meet his basic personal needs such as dressing and going to the toilet.
How long does it take to recover after hernia surgery?
When hernia is performed with microsurgery, the hospital stay is one day. . He is discharged the next day and is called to the hospital for control on the 5th day. It is recommended not to go out of the house for 5 days, but the patient is asked to spend this time with normal activities at home, not in bed. Going up and down stairs is free. After 5 days, he can do activities such as going out of the house, walking in the neighborhood, doing small shopping, walking in the park. Short-term driving is free after 5 days. After 20 days, the vehicle can be used for periods exceeding half an hour. Desk jobs can be started 10-15 days after the surgery. standing jobs are allowed after 3 weeks. Patients are asked not to lift more than three kilos in the first month and not to lift more than 5 kilos in the first three months. Spine exercises are given and it is asked to adopt it as a lifestyle.
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