Lumbar Disc Prolapse

Herniated discs are most commonly found in the lower back, or lumbar spine, but they can also occur in the cervical spine (neck). The location of the pain is determined by which part of the spine is affected. Lumbar disc herniation, or prolapse, is one of the most frequent diagnoses among degenerative conditions of the lumbar spine, affecting 2 to 3% of the population. It is also a leading reason for spinal surgeries in adults.

The initial approach to managing a lumbar disc prolapse should be conservative, typically involving medication and physiotherapy to relieve symptoms. In some cases, a percutaneous nerve root block may be used to help manage pain. Surgical intervention is generally considered only when these treatments fail to provide adequate pain relief or restore function.

Treatment Of Lumbar Disc Prolapse

Lumbar laminotomy is a surgical technique commonly used to alleviate leg pain and sciatica caused by a herniated disc. This procedure involves making an incision along the center of the back, directly over the area where the herniated disc is located. During the operation, a small portion of the lamina, which is a part of the vertebra that forms the back of the spinal canal, may be removed to create more space and reduce pressure on the affected nerve roots.

Once the lamina is partially removed, a discectomy is performed, which involves removing the portion of the herniated disc that is pressing on the nerves. This helps relieve the pain and discomfort caused by the disc material impinging on nerve structures.

In some cases, after the herniated disc is removed, the stability of the spine may be compromised. To address this, spinal fusion is often done in conjunction with a laminotomy. Spinal fusion involves joining two or more vertebrae together using bone grafts, screws, and rods to provide additional support and stability to the spine. This combination of procedures can effectively reduce pain and restore function, particularly in cases where the herniated disc has caused significant nerve compression and structural issues within the spine.

Symptoms of Lumbar Disc Prolapse

The most common symptoms of herniated disk in lumbar area includes

Diagnosis

Diagnosis is made by a neurosurgeon based on history, symptoms, and results of tests. It can be identified by

  • X-ray

  • Computed tomography scan (CT or CAT scan)

  • Magnetic resonance imaging (MRI):
  • Myelogram
  • Electromyogram and Nerve Conduction Studies (EMG/NCS)

Meet Our Doctor

Dr. Shailesh Jain is a renowned neurosurgeon of Delhi. He is the associate director of Neurosurgery & head of Endovascular neurointervention at Max hospital, Shalimar Bagh. He runs his own clinic, “Niramaya neurospine and diagnostic centre” in Maurya enclave, Pitampura as well.
Dr. Jain did his Mch Neurosurgery from prestigious All India Institute of Medical Sciences (AIIMS), Delhi for spine fellowship he went to Cleveland, USA. He treats all kinds of brain & spine problems like headache, backache, tumors, spondylitis etc.

OUR PATIENTS SAY

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Advanced medical care and health technology have enabled doctors and specialists to cure complex medical issues related to spine and neuro disorders. We have combined the expertise of experienced consultants and neuro-surgeon with the latest medical technology to achieve quality and least invasive treatment.

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