Microdiscectomy, also called Microlumbar Discectomy or MLD, is a procedure performed in patients suffering from a painful lumbar herniated disc. Microdiscectomy is one of the most common surgeries performed by spine surgeons to relieve pain in the spine.
What is Microdiscectomy?
Microdiscectomy isn’t as intimidating as it might seem at first. The “micro” part actually highlights how this procedure is planned to be as minimally invasive as possible, making it a solution that gets the job done with less fuss and discomfort than in traditional open surgery.Â
The operation involves removing the herniated or protruding section that compresses the traversing spinal nerve root. In the past, most spine surgeons used a large incision and surgical exposure to remove a herniated disc, without a microscope or telescopic glasses, which could lead to longer hospital stays and extended recovery times.Â
Today, our surgeons use a microscopic surgical approach with a small, minimally invasive, poke-hole incision to remove the disc herniation, allowing for a more rapid recovery, a smaller scar, and lower infection risk.
Learn More: Herniated Disc in New Jersey
How is the Microdiscectomy Performed?
The goal of a microdiscectomy is to remove the pressure on the nerves produced by the hernia. These are the steps of the procedure:
   1. Getting ReadyÂ
You’ll be asleep under general anesthesia. The surgical team positions you face down and uses special X-ray technology to pinpoint exactly where the troublemaker disc is hiding.
   2. The Cut
Instead of making a large incision like in traditional open surgery, your surgeon makes a small cut (we’re talking just an inch or two).
   3. Navigating to the Problem
Then, your surgeon carefully moves your back muscles aside without cutting them. Sometimes, a small piece of bone needs to be removed to create better access, but this will only happen if it is necessary.
   4. The Procedure
Your surgeon locates the herniated disc material that’s been causing all your grief and carefully removes just the problematic parts. It’s a precise work; the job that is being done is to give your pinched nerve room to breathe again while leaving all the healthy disc tissue alone.
   5. Wrapping Up
After ensuring everything looks good and your nerves are free from pressure, the area is cleaned, and the small incision is closed. That’s it, you’re done!
About Recovery Time After Microdiscectomy
Recovery time after a minimally invasive surgery is usually faster than other options; however, you will still need time to recover. Most people can leave the hospital either the same day or within 24 hours after the procedure.
Right after the surgery, it’s important to avoid driving, sitting for long periods, lifting heavy things, or bending over. While you may not be able to return to your routine immediately, your everyday life shouldn’t be too disrupted.
What are the Risks After Microdiscectomy?
Microdiscectomy is a safe procedure, and complications are rare. However, like any surgery, there are some risks. These include:
- Dural tear (cerebrospinal fluid leak) occurs in 1 to 7 percent of surgeries
- Nerve root damage
- Recurrent disc herniation
- Bowel/bladder incontinenceÂ
- Bleeding
- Infection
Treating Lumbar Herniated Disc in New Jersey
Our approach to treating spinal-related pain often focuses on nonsurgical and minimally invasive therapies, including:
- Physical therapy to improve strength, flexibility, and posture
- Massage therapy to reduce muscle tension and promote relaxation
- Chiropractic care to address spinal alignment issues
- Regenerative medicine options, such as PRP therapy, to support natural healing
- Pain management injections for targeted relief
While most people who experience sciatica or a lumbar herniated disc will not require surgery, if all other treatments fail, a microdiscectomy may be the option.
If you’re experiencing chronic pain, weakness, or numbness in your back, legs, or arms, it’s important to visit a specialist to get an assessment and explore your alternatives. Call Genesis Orthopaedic and Spine today for more information or book an appointment online.
