Bulging (Prolapsed Intervertebral) Disc Surgery in Delhi

Prolapsed Intervertebral Disc surgery is a medical procedure that aims to alleviate the symptoms of a herniated or prolapsed disc in the spine. The surgery can involve various techniques, but the most common is a discectomy, in which the surgeon removes a portion of the disc pressing against the spinal nerve.

Procedure Type

Minimally invasive, open surgery, Endoscopic surgery, Microscopic Surgery

Speciality

Neurosurgery

Body Location

Spinal Cord

What are some types of Bulging (Prolapsed Intervertebral) Disc Surgery?

Surgery may be necessary if conservative trials do not alleviate symptoms. Here are some types of PIVD surgery:

• Microdiscectomy: Also known as microdecompression, it involves removing a small part of a bulging disc to relieve pressure on the affected nerve.
• Endoscopic discectomy: A minimally invasive procedure, it involves endoscopic removal of bulging disc material that may put pressure on the spinal cord or a nerve. 
• Laminotomy: A portion of the lamina (the bony arch covering the spinal cord) is removed to relieve pressure on the affected nerve. This type of surgery is often used for patients with spinal stenosis (the spinal canal narrows and puts pressure on the nerves).
• Laminectomy: Similar to a laminotomy, it involves the removal of the entire lamina to provide more room for the spinal cord and nerves. This type of surgery is typically used for more severe cases of spinal stenosis.
• Artificial disc replacement: In some cases, instead of removing the bulging disc, an artificial disc can be implanted in its place. This can help maintain spinal flexibility and range of motion. This type of surgery is typically used for younger patients with a single bulging disc.

Who is the right candidate for Bulging (Prolapsed Intervertebral) Disc Surgery?

Prolapsed Intervertebral Disc surgery can be helpful for:

• Those who have not responded to conservative treatments like physical therapy, pain medication, and rest. 
• Severe and persistent pain: If the pain from a prolapsed disc is severe, persistent, and not responding to other treatments, surgery may be necessary to relieve the pressure on the nerves and reduce pain.
• Nerve compression: If the prolapsed disc is compressing a nerve root and causing neurological symptoms like numbness, weakness, or tingling in the arms or legs, surgery may be required to decompress the nerve and prevent further damage.
• Loss of bowel or bladder function: In rare cases, a severely herniated disc can cause loss of bowel and bladder function, which is a medical emergency that requires immediate surgery to avoid permanent damage.
• Progressive weakness or neurological deficits: If the patient experiences progressive muscle weakness, loss of sensation, or other neurological deficits, surgery may be required to prevent further damage to the nerves.

Why is Bulging (Prolapsed Intervertebral) Disc Surgery needed?

• Prolapsed Intervertebral Disc surgery may be needed when conservative treatments have not brought relief to symptoms caused by a bulging disc.
• If the prolapsed disc compresses a nerve or the spinal cord, causing significant pain or neurological symptoms. In such cases,  surgery may be required to relieve the pressure and prevent further damage.
• Surgery may also be needed if the patient experiences progressive muscle weakness or loss of sensation, which could indicate that the nerve is being damaged or destroyed. 
• Additionally, surgery may be needed if the patient's symptoms are severe or persistent.

Preparation for Bulging (Prolapsed Intervertebral) Disc Surgery

• The doctor asks for the patient's personal and family medical history, and they may suggest performing a physical exam and ordering lab, imaging, and diagnostic tests like MRI or CT scans. 
• The surgeon will also review the patient's conditions, medications, and allergies. 
• The patient may need to stop taking certain medications or adjust their dosage before the surgery.
• Fasting is required for a few hours before the surgery.
• Avoid smoking a few weeks before surgery since it can interfere with healing.

How is Bulging (Prolapsed Intervertebral) Disc Surgery Performed?

• The patient receives anaesthesia, so they are comfortable and pain-free during the procedure. 
• The surgeon makes an incision in the neck or back and carefully moves aside the surrounding tissue to access the affected disc. 
• They will then remove the herniated portion of the disc, relieving pressure on the nerves.

Risks of Bulging (Prolapsed Intervertebral) Disc Surgery

Risks of prolapsed disc surgery include:

• Infection 
• Bleeding
• Nerve damage 
• Anesthesia complications

Recovery of Bulging (Prolapsed Intervertebral) Disc Surgery

• Recovery from Prolapsed Intervertebral Disc surgery typically involves a period of rest and limited activity, followed by physical therapy to help the patient regain strength and mobility. 
• The length of recovery can vary, but most patients are able to return to normal activities in a few weeks to a few months. 
• Pain management is an essential part of the recovery process, and patients may need to take medication to manage discomfort.
• Patients must not lift heavy objects, engage in strenuous activities or operate heavy machinery.

FAQs

How serious is a prolapsed disc?

prolapsed disc can be painful and cause discomfort, but it's usually not considered a medical emergency. However, if left untreated, it may lead to more serious conditions like herniated discs or nerve damage.

What happens if a prolapsed disc goes untreated?

If a prolapsed disc goes untreated, it can lead to serious conditions like herniated discs or nerve damage, which can cause pain, weakness, numbness, or even paralysis.

Is walking good for a prolapsed disc?

Yes, walking is beneficial for people with prolapsed discs. It helps strengthen the muscles that support the spine and increase blood flow to the affected area, promoting healing and reducing pain.

What causes a prolapsed disc to flare up?

prolapsed disc can flare up due to a range of factors, like poor posture, repetitive movements, improper lifting, or sudden movements that put strain on the spine.

Can a prolapsed disc paralyze you?

It's rare for a prolapsed disc to cause paralysis. However, if left untreated, it may lead to conditions like herniated discs or nerve damage, which can cause weakness, numbness, or even paralysis.

Can losing weight help prolapsed discs?

Yes, losing weight can help reduce the pressure on the spine and improve the symptoms of a prolapsed disc.

How much is the cost of surgery for a prolapsed disc?

The cost of surgery for a prolapsed disc depends on factors like the location, surgeon's fees, hospital fees, and extent of the condition.

How long does Prolapsed Intervertebral Disc surgery take?

The duration of PIVD surgery depends on the type of surgery and the patient's circumstances. It can range from 30 minutes to several hours.

Review

Reviewed by the Neurosurgery Team on 31 May 2024.