Back Surgery for Ruptured Disc

A ruptured disc leaks fluid into the spinal canal

Those suffering from neck and/or back pain, paraesthesia, progressive numbness, weakness, and muscle atrophy, may have a ruptured, herniated, or bulging disc in the spine.  The majority of patients will experience some degree of relief, or a complete recovery, using only conservative treatments such as medications, physical therapy, and rest.  Unfortunately, those for whom conservative treatments fail to provide relief may require back surgery.  Others who have evidence of significant nerve compression may be advised to undergo back surgery fairly urgently in order to prevent permanent and debilitating nerve damage.  As an actual rupture of the disc, as opposed to the bulging of the disc, leaks the inner material of the disc into the area around the spinal nerves there is an increased amount of irritation caused to these nerves.  The disc material is also likely to cause inflammation which may induce nerve scarring and pain.

There are various forms of back surgery, not all of which are appropriate for those suffering from a ruptured disc.  The choice of a particular procedure will depend on surgical guidelines, other factors, such as multiple sites of disc degeneration and rupture or spinal curvature, the general health of a patient, and the availability of experienced medical professionals to conduct the operation.  Ensuring that the patient understands all of their options thoroughly and seeks a second opinion where necessary can reduce the possibility of unnecessary back surgery being carried out.  An accurate diagnosis of the specific disc causing the problem is paramount as misdiagnosis is the leading cause of failed back surgery syndrome.  A suspected ruptured disc is not always responsible for nerve pain, with other degenerative discs possibly contributing to a patient’s symptoms.

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