Lumbar Disc Prolapse (Herniated Disc) Treatment in Noida, Delhi Ncr, India

Overview

Intervertebral disc (or the intervertebral fibrous cartilage) is located between adjacent vertebrae within the spinal column. Each disc is an intervertebral joint that is fibrocartilaginous, which allow a little movement between the vertebrae. They also act as a ligament, which holds the vertebrae. Their function as shock absorbers within the spine is crucial. When a disc becomes degenerate the soft disc’s gel may spill back out into the spinal canal. This is referred to as prolapsed or disc herniation disc. The disc material that has been herniated places pressure on the nerve which causes pain that radiates down the nerve, leading to sciatica and leg discomfort (from an herniated disc in the lumbar region).

How a Lumbar Disc Herniates

A strong outer ring known as the annulus guards the gel-like inner layer of each disc, also known by the name nucleus pulposus. Because of aging and damage, discs are depleted of some water that helps make them soft and flexible. In the process, discs are likely to get stiffer and flatter. The process is referred to as disc degeneration begins very early in life, and often manifesting at a later time.

Herniated Disc Symptoms

Common symptoms of a herniated disc include:

• Leg pain It tends to be more severe than backache. If the pain is radiated through the sciatic nerve’s large branch in the rear of the leg, it is known as the sciatica condition or as radiculopathy.
• The pain of nerves is Usually identified as nerve pain in the leg and the pain is described as sharp, searing electrical, radiating or perforating.
• The location of the symptoms can vary: Depending on variables such as where the disc ruptures and the severity of herniation. Symptoms may occur in the lower back, buttocks, front or the back of the thigh, the calf, foot or toes. It is usually affecting only on one of these sides.
• The symptoms of neurology: Numbness and pins-and-needles sensation, weakness, and/or sensations of tingling could be felt in the foot, leg or toes.
• Drop of the foot: It is difficult to lift the feet while either walking, or standing upon the balls of the foot.
• Back pain in the lower back:Described by the doctor as being dull, or painful throbbing, and can be caused by stiffness.
• Pain that gets worse as you move:Pain may follow prolonged sitting or standing or walking just a few steps. Sneeze, laugh, or other sudden activity could cause pain.
• The pain that gets worse from the forward hunch:Includes positions such as slumping, hunching forward, or bent toward the waist.
• Cauda Equina SyndromeIt results in a decrease of control over bowels or bladders lower back pain, perineal numbness and/or weakness of both legs. It can cause swelling and pressure of the nerves near the end in the spine column.

Lumbar Disc Prolapse Causes

Lumbar disc prolapse can be caused by these factors:

• Age: The main risk factor is between 35 and 50.
• Genre: Men are at twice the risk of women.
• Obesity
• Smoking

Expertise in Lumbar Disc Prolapse

Metro Cancer Institute provides comprehensive treatment for all types of orthopaedic ailments, including herniated discs in the lumbar area. The center offers a variety of specialties ranging from sports Medicine, Paediatric Orthopaedic Services to Arthritis Diagnosis & Treatment as well as pain management. It is equipped with the most modern technology and advanced expertise, the institute offers a variety of treatment options to patients. We were the first to introduce technology that allows patients to receive the best medical treatment.

Lumbar Disc Prolapse Treatment Approach

In the Metro Cancer Institute, we treat patients with lumbar herniated discs by first physically checking the patient before determining whether the diagnosis is made according to the need. There are many diagnoses to determine the signs of herniated disc that are listed below:

• Neurological Test:The patient may be instructed to walk normally and on tiptoes in order to determine the condition known as foot drop. This is a condition in which the muscles that flex the toes and ankles are weak. The strength and reflexes of muscles in other areas are likely to be assessed.
• The Leg Raise test: One familiar stretch to determine if you have herniated discs involves the straight leg lift, also known as LaSegue test. In this test the patient lies flat on their back and the doctor gently lifts the leg that is affected until discomfort is felt. If the patient experiences pain after the leg has been elevated at 30 to 60-degree angle, it could be an indication for a lumbar disc herniation. If lifting the leg that is not affected causes pain to the one affected and also suggests that a nerve is affected or is irritated.
• Gait monitoring:The doctor will observe whether the patient appears be walking slower due to pain or if they have an abnormal gait.
• Lumbar Spine Area Examination If there’s inflammation of the spinal lumbar region, the skin might appear unusual or be sensitive to touch.
• X-rays They are utilized to determine the cause of complications such as a fractured bone, bone anomalies or tumours, infections or even spinal alignment.

Surgery might be suggested in the event that the patient suffers from:

• In severe pain, and has difficulties maintaining a normal level of daily activities, for example, walking or standing.
• Progressive neurological symptoms, for example weakening of the legs. and/or numbness.
• The loss of bladder and bowel functions.
• It can be painful even after taking medicine or physical therapy and/or receiving other non-surgical treatment.

Lumbar Disc Prolapse Treatment Procedure

Metro Cancer Institute offers a range of treatments options for patients suffering from a herniated disc in the lumbar region. The options are as follows:

Initial Pain Control

The control of pain is the first priority in the first time symptoms of a herniated disc begin to manifest. Our first pain management options for urgent cases are:

• Ice application
• Therapy with heat
• Pain medication
• Relaxing agents for muscles
• The patient is allowed to go to bed to rest

Surgery

A disc herniation in the lumbar region has a high chance of success. A comprehensive medical study has reported excellent or good outcomes for 84-90% of patients who underwent the microdiscectomy.

Microdiscectomy is a extremely minimally in-depth procedure which is typically suggested for discs with lumbar herniation. Incisions of a small size are utilized in microdiscectomy. This procedure relieves the pressure off of the nerve root, and creates the disc with a more favorable healing environment. the disc. Most of the time, only the small part of the disc that is pressing against the nerve root has to be removed. However, most of it is healthy. The majority of patients are able to resume their normal routine within a week.

Kyphoplasty (Cement surgery):It is a minimally invasive surgery that is utilized to treat spinal fractures. Kyphoplasty begins by inserting the balloon is inserted, and is then ballooned in order to expand the vertebra that is compressed prior to filling the space with bone cement. This procedure repeats for every vertebra affected. The strengthened vertebra with cement now allows patients to sit straight and reduces the pain and also prevents further fractures.

Therapy

• Physical Therapy It includes targeted stretching exercises and stretching to help with rehabilitation. It allows the patient to be able to safely carry out everyday activities for example, walking and lifting.
• Medical Therapy Epidural injections with steroids can provide relief from pain in certain situations.
• Massage Therapy It is a great way to alleviate back pain by increasing blood flow by relaxing muscles, and also releasing the body’s natural pain-killers known as endorphins.