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Disc herniation and when to operate

Reading a disc in the lumbar or cervical spine is a very frequent pathology which is the cause of pain, both low back pain and cervical back pain, however not all hernias require surgery.

When the pain is from the back to the leg, whether it runs down the front of the thigh or down the back of the leg to the foot with electric shock and sensations of burning, cold, tingling or stinging, it makes us think that one of the nerves of the lumbar spine is being pressed by the disc against bone. When this happens and the pain persists for more than 3 months or is accompanied by weakness for a muscle group related to this nerve, surgery is considered.

Surgical options include open discectomy, microscopic discectomy, and endoscopic discectomy. The difference between these techniques is that open surgery requires an incision of about 2 to 5 cm, surgery with a microscope can give a wound of about 2 to 2 cm and a half, and surgery with an endoscope, a camera is inserted, which allows us to do it. with a 10 mm incision.

Among the minimally invasive surgeries there is the option with a microscope that allows us a speedy recovery with a small wound, the microscope provides us with a better visualization of the structures, which makes the surgery safer than a discectomy good good good yes ok this Well, yes, the other one, a recipe with it, yes, since tomorrow it is possible that you will not need it due to the effect of the blockade project, it is in good control of the name of the following ones in this 18 hours, so this and well, this is this and conventional or open. On the other hand, endoscopic discectomy allows us to perform the surgery in most cases with local anesthesia and sedation, allowing the patient to go home four hours after surgery and have an equal or faster recovery than with the microscope.

In patients who do not meet the criteria for surgery, they can be treated with physical therapy and rehabilitation or with some procedure to alleviate the discomfort, either back or pain towards the leg, such as infiltrations either in the foramen ( nerve outlet) to relieve pain specific to the nerve under pressure from herniation or epidural blockages.

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