Best Slip Disc Treatment in Delhi, Rohtak, Best Slip Disc Doctor in Delhi, Delhi NCR, Dwarka, Najafgarh, Palam, Janakpuri, Subhash Nagar, Paschim Vihar, Rohtak

Best Slip Disc Treatment in Delhi

The spine is made of 33 individual bones placed one above the other like a stack separated by disc in between. Disc are cushion like structure placed between each of the vertebrae which acts like a shock absorber and prevents the bones to rub against each other during movement. They are filled with gel like substance. Spinal injury or excess wear and tear of disc can make this gel like substance to start slipping out with or without pinching the spinal cord and nerve. This condition is called slip disc or slipped disc or herniated disc or prolapsed disc. This slipped out gel like substance creates pressure on spinal cord and causes pain, discomfort or numbness in the spinal nerve area. A slip disc can occur in any part of the spine, but the mid and lower back is the most prone area.

In most cases slipped disc or herniated disc can be cured with slip disc treatment without surgery by adopting non-surgical treatments like Rest, Posture Correction, Physiotherapy, Medicine and Epidural Injections. For most patients, a herniated disc shows an improvement after six weeks even without surgical treatment. Only in severe cases where the patient is showing symptoms of paralysis or physical disability; a surgery is recommended.

A slip disc is also known as a herniated or ruptured disc. This is a spinal condition that causes weakness and numbness in the affected spine region. Dr. Hamza Shaikh is best slip disc doctor in Delhi. We provide best slip disc treatment in Delhi. Most spine problems may subside on their own, but delaying slip discs may trigger more slip discs. Therefore, you must seek consultation with the best slip disc doctor in Delhi to know the root cause of the spine problem and prevent your spine from further damage.

Lumbar Microdiscectomy

A discectomy refers to the surgical removal of abnormal migrated disc material that presses on a nerve root or the spinal cord, which causes pain, weakness, or numbness. The condition is called disc herniation which is commonly known as slip disc or sciatica. Symptomatic lumbar disc herniation (LDH) is estimated to affect 1 to 2% of the population. More than 90% of patients with LDH will respond to nonoperative care, and only 2 to 4% of symptomatic patients will require spinal surgery.

Aim of surgery

The Surgical aim is to relieve compression of the nerve root to alleviate the patient’s radicular leg pain.

Indications for Surgery

Failure to obtain radicular leg pain relief despite an adequate trial (6-8 weeks) of non-operative treatment.
Progressive motor weakness in the leg(s) or sensory impairment in the perianal area.
Difficulty in passing urine or bowel resulting from nerve compression

Contraindications for Discectomy surgery

Segmental instability and pseudo disc bulge due to spondylolisthesis are contraindications for discectomy alone.

A brief guide to surgical procedure

Anesthesia

Surgery is performed in general anesthesia, the patient will be fully asleep.

Patient position

Patients are positioned in the prone (lying on the stomach) position, generally using a special operating table with special padding and supports.

Procedure

A 2-3 centimeter longitudinal incision is made in the midline of the low back, directly over the correct level of the herniated disc, confirmed with intraoperative fluoroscopy. Special retractors and an operating microscope or loops are used to visualize the region of the spine. A portion of the lamina (laminotomy) or the whole lamina (laminectomy) is removed along with the surrounding ligaments to expose the herniated disc. The nerve root and neurologic structures are protected and carefully retracted so that the herniated disc can be removed. The resultant space eventually becomes filled with scar (fibrous) tissue. Dissolvable sutures are used to close the skin. The wound area is usually washed out with sterile water containing antibiotics. The deep fascial layer is closed with strong non-absorbable sutures, while is closed with subcuticular self-absorbable sutures leaving a minimal scar. The total surgery time is approximately 1 hour.

Post-Operative Care

After 1-2 hours of monitoring in the recovery room, patients are shifted to ward. Oral fluid intake started after 4 hours and gradually switched to a full diet. Most of the patients can stand and walk by the evening or the next morning with good pain tolerance and can be sent home accordingly in 1-2 days.

Home Care

To follow proper techniques of getting in and out of bed and walking independently. The patient should walk and stay active as much as possible and can climb stairs if required. The patient should avoid prolong sitting (>45-60 min) and avoid bending at the waist, lifting (more than 2-3 kg).

Brace

Usually not required or recommended to wear a back brace after surgery.

Wound Care and follow up

Before leaving the hospital, a waterproof dressing is applied to the surgical wound, and the patient can take shower and will be called on the 5th post-op day for a dressing checkup and change of medication if needed.

Return to work

The patient can resume light work or driving once the pain is tolerable, usually in a week to 10 days. While heavy work and sports activity should be avoided for at least 6 weeks after the surgery.

Complications

Microdiscectomy is generally considered a very safe procedure, however, like any other surgery, there are several risks and complications associated are:

Operative wound infection
Dural tear and CSF leakage
Bleeding
Pain that persists after the surgery
Nerve root damage
Bowel/bladder incontinence
The possible buildup of fluid in the lungs that may lead to pneumonia
Deep vein thrombosis, which occurs when blood clots form in the leg

Result of surgery

The success rate for microdiscectomy surgery is approximately 90%. Most patients will have a rapid and considerable improvement in their radicular leg pain, however, sometimes numbness, tingling sensation, or pain or motor symptoms fail to recover fully when surgery is done after a long duration(9-12 months) of nerve compression. The risk of recurrence of symptoms due to recurrent disc herniation at the same level after surgery is 5-10 %.

Lumbar Microdiscectomy