If you have been diagnosed with a herniated disc and conservative treatments haven’t relieved your leg pain, your spine surgeon may recommend a procedure called a Lumbar Microdiscectomy. It is one of the most common and highly successful minimally invasive spine surgeries.
What is a Microdiscectomy? The goal of this surgery is to relieve the pressure on your spinal nerve by removing the portion of the herniated disc that is pressing on it. Because it is a “micro” procedure, the surgeon uses a special microscope and makes a very small incision in your lower back.
The Procedure The surgery is typically performed under general anesthesia. Through a small incision (often only an inch long), the surgeon gently moves the back muscles aside rather than cutting them. Using micro-instruments, they remove the small fragment of disc material compressing the nerve. The rest of the healthy disc is left intact.
The Recovery Process
- Immediate: Most patients wake up with immediate relief from their leg pain (sciatica), though some numbness or tingling may take longer to heal.
- Going Home: Because it is minimally invasive, many patients can go home the same day or the next morning.
- First Few Weeks: You will be encouraged to walk regularly, as it prevents scar tissue and builds strength. However, you must avoid the “BLTs”: Bending, Lifting (anything heavier than a milk jug), and Twisting for about 4 to 6 weeks.
- Return to Work: Depending on your job, you may return to work in 2 to 4 weeks.
A microdiscectomy is a safe and effective way to help patients reclaim their active lives. Discuss with your surgeon to see if you are a candidate.
