Best and also Effective Surgical Therapy of Sciatica

The main purpose of the intervention is to suppress the compression of the nerve by releasing the nerve root of its compression by the herniated disc. It is also necessary to empty the disc by removing the fragments of the nucleus which are damaged and which could be at the origin of a new disc hernia ion. Sometimes, if osteoarthritis phenomena are added to a hernia, it is necessary to release the compressed nerve a too thick ligament.

Surgery will only be considered:

Doctors for sciatica pain advise in an emergency situation with risk of irreversible neurological damage: motor deficiency (paralyzing sciatica), intolerable pain not relieved by opioids, sphincter dysfunction, especially urinary dysfunction.

In other cases, the approach may be broader and root release may require a complementary release gesture. It is sometimes necessary to remove a part of the vertebra to release enough compressed root (s).

The disc having been emptied, it will lose a little height. This has no particular consequence and it is useless to replace the nucleus. A healing tissue will occupy the disc space in a few weeks.

The use of microsurgical loupes allows a smaller scar, the gesture is thinner and the surgeon better distinguishes the nerve from what surrounds it. Often, the procedure is faster, less hemorrhagic and simpler. Bleeding during the procedure is minimal. Reach to sciatic nerve specialist near and follow the instructions carefully.

Hospitalization

The usual duration of hospitalization for an uncomplicated herniated disc surgery is 3 days. Your arrival at the clinic is scheduled the day before the intervention. You must bring all of your medical documents, including your scanner and/or MRI and your x-rays of the spine, even if they are old. Bring your usual treatments and the latest prescriptions.

If you are a smoker, it is strongly recommended to reduce or stop your consumption the days before the sciatica nerve treatment.

The day after the procedure you will be raised with the help of the physiotherapist or nurses who will tell you how to avoid dangerous actions for your back. You can wash at the sink and sit on a chair for breakfast.

Precautions and recommendations after intervention

It is normal for lumbar discomfort to persist for the first few weeks, especially during trunk movements and while seated. It is also usual that discomfort in the sciatic territory where you had pain before the intervention. It can be "tingling" or a "sleeping" area often at the foot. These phenomena last between 10 days and several months and are a function of the importance of sciatic nerve involvement and its duration of evolution before surgery.

It is most often unnecessary, if not recommended, to wear a lumbar restraint belt after the procedure; unless it is specifically prescribed for you or possibly for the return journey home.

There are no contraindications to sexual activities if they do not wake up the pain. In the acts of everyday life, one must submit his column to suitable gestures, especially to stoop or carry. There is no totally forbidden gesture if the movement does not wake up the pain and does not subject the operated area to too much stress.