Lumbar Microdiscectomy Surgery | Lower Back Surgery

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Micro Lumbar Discectomy (MLD)
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Mi di S i I diMicrodiscectomy Surgery in India
Micro Lumbar Discectomy is a an advanced minimally invasive
surgery for patients with lumbar disc herniation. Compared to
traditional open decompression surgery the recovery is faster
and the patient is back to his normal activities within a week.
Sciatica or lumbar disc herniation is a painful condition in
which the patient complains of severe backache, numbness,
radiating pain and tingling sensation in one or both legs. There
may be associated weakness of leg and wasting of leg muscles
in long standing cases.
The patient is unable to sit, stand or walk even for short
durations. In less severe cases, the condition is treated
conservatively by bed rest and traction and physiotherapeutic
exercises But in severe cases such as continuous pain legexercises. But in severe cases such as continuous pain, leg
weakness and loss of bladder control, surgery is the treatment
of choice.
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Mi di S i I diMicrodiscectomy Surgery in India
When L5 nerve root is compressed along its path within the
spinal canal. It can be due to age associated bony outgrowths
(osteophytes) or disc herniations in the space between 4th and
5th lumbar vertebrae. The nerve root controls the muscles of
elevation of the foot at the ankle, elevation of the big toe,
sensation on the top of the foot and sensation on the back of
the thigh and leg.
Irritation and compression of this nerve root causes the severeIrritation and compression of this nerve root causes the severe
back ache, numbness, tingling and radiating pain in the leg.
Some times if the compressive structure is large, it may press
upon L5 nerve roots of both sides resulting in loss of bowel
and bladder control which is a medical emergencyand bladder control, which is a medical emergency.
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What is the recovery time?
Since MLD is a minimally invasive surgery with a very small
i i i it ll f id M t i di id lincision, it allows for a more rapid recovery. Most individuals
can return home the same day as the surgery and return to
normal or light activities within a day or two. More than 90% of
patients experience total or near total pain relief, usually within
d t f tia day or two of operation.
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Rehabilitation Period
The patient resumes normal activities within two days of
surgery. Heavy weight lifting and car driving is advised after 3g y y g g g 3
weeks. Proper ergonomics while sitting standing and carrying
weight is taught to the patient. Physiotherapy on out patient
basis begins with mild strengthening and stretching exercises
followed by endurance exercise for back muscles. Short periodsy p
of walking are advised. Athletic activities can be resumed in one
month.
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• Patients who continue to have the following symptoms even
after 3 months of conservative treatment of bed rest, traction or
physiotherapy, are advised this surgery.
Who is a candidate for
Minimally Invasive Micro
Lumbar Discectomy ?
physiotherapy, are advised this surgery.
• Pain in the low back and back of the leg
• Pain and limitation in raising the leg with the patient lying onLumbar Discectomy ? Pain and limitation in raising the leg with the patient lying on
his back
• Loss of sensation in the leg
• Weakness in specific muscle groups in the leg especially foot
elevators.
• Loss of reflexes at the knee and ankle
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Lumbar Microdiscectomy Surgery | Lower Back Surgery

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