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Advanced Lumbar Disc Surgery in Bhubaneswar

Lumbar disc surgery is a surgical procedure designed to address issues in the lower back's intervertebral discs, which act as cushions between the vertebrae. This surgery aims to repair or remove damaged disc material that causes pain, nerve compression, and mobility issues. Doctors typically recommend this procedure for patients who have not found relief through non-surgical treatments like physiotherapy, medications, or injections.

Types of Lumbar Disc Replacement Surgery

The following are the main types:

  • Total Disk Replacement: Involves removing the entire damaged disk and replacing it with an artificial implant
  • Partial Disk Replacement: Replaces only a portion of the damaged disk

Best Lumbar Disk Surgery Doctors in India

Why Might I Need Lumbar Disc Replacement?

Lumbar disc replacement is considered for patients experiencing chronic lower back pain caused by one or two damaged discs. Ideal candidates meet the following criteria:

  • Pain originates from one or two discs in the lumbar spine.
  • No significant joint disease or spinal deformities like scoliosis.
  • No prior spinal surgery or major nerve compression.
  • Appropriate body weight and overall good health.

Symptoms Requiring Lumbar Disc Surgery

Patients with the following symptoms may be candidates for surgery:

  • Sciatica- pain radiating from the lower back through the buttocks and down the legs.
  • Muscle weakness or difficulty moving the legs
  • Tingling or numbness in the legs and feet
  • Reduced reflexes in the knees or ankles
  • Changes in bowel or bladder function (in severe cases)

Diagnostic Tests for Lumbar Disc Surgery

To accurately diagnose lumbar disc issues, doctors use a combination of tests:

  • Magnetic Resonance Imaging (MRI): Provides detailed images of soft tissues, nerves, and discs.
  • CT Scan: Offers cross-sectional views of the spine, which is useful for patients who cannot undergo an MRI.
  • X-rays: Show bone alignment and detect fractures or abnormalities.
  • Myelography: Involves injecting contrast dye for enhanced spinal imaging.
  • Electromyography (EMG): Measures nerve function using electrodes placed in muscles.

These tests help surgeons plan the procedure and rule out non-spinal causes of pain.

Treatment Modalities

Treatment for lumbar disc problems depends on the severity of symptoms:

  • Non-surgical Treatments:
    • Medications like NSAIDs and muscle relaxants
    • Physiotherapy to improve flexibility and strengthen core muscles
    • Epidural steroid injections to reduce inflammation
    • Alternative therapies like acupuncture or chiropractic care
  • Surgical Treatments:
    • Doctors recommend surgical intervention when conservative treatments fail or if there is severe nerve compression.
    • Includes procedures like discectomy (removing part of the disc) or artificial disc replacement.

Lumbar Disc Surgery Procedure

The surgery typically takes 2-3 hours and involves the following steps:

  • Administering general anaesthesia to ensure the patient is unconscious and pain-free.
  • Making a small incision in the abdomen to access the spine.
  • Carefully moving organs and blood vessels aside to reach the damaged disc.
  • Removing the damaged disc material and replacing it with an artificial disc.
  • Closing the incision with stitches or surgical glue.

Modern techniques use minimally invasive methods, resulting in smaller incisions, less pain, and faster recovery.

Pre-surgery Preparation

Proper surgical preparation is crucial for a successful outcome:

  • Medical Evaluation: Includes blood tests, imaging scans
  • Lifestyle Modifications: Patients are advised to quit smoking and maintain a healthy weight.
  • Home Preparation: Arrange for post-surgery assistance with daily activities and transportation.
  • Pre-surgery Instructions: Avoid food and drink after midnight and use antibacterial soap before the procedure.

During Surgery

The surgical team ensures patient safety and precision throughout the procedure:

  • The surgical team carefully position the patient to allow optimal access to the spine.
  • Administration of the general anaesthesia
  • The surgeon makes a small incision in the lower back and carefully moves surrounding structures to access the lumbar spine.
  • Advanced tools like surgical microscopes are used for accuracy.
  • Removal of the damaged lumbar disc and creating space for the artificial disc implant
  • Positioning of the artificial lumbar disc between the vertebrae
  • After ensuring proper alignment, the surgeon closes the incision with sutures or staples

Vital signs, nerve function, and anaesthesia response are monitored continuously.

Post-surgery Recovery

Recovery after lumbar disc surgery involves:

  • A 1-2 night hospital stay for monitoring
  • Pain management with prescribed medications
  • Physical therapy to restore strength and mobility
  • Gradual return to daily activities:
    • Light activities within a week.
    • Driving after 2-6 weeks.
    • Strenuous activities after 3-6 months
  • Regular follow-up appointments to monitor healing 

Why Choose CARE Hospitals?

CARE Hospitals in Bhubaneswar is a leading centre for spine surgery, offering:

  • Highly experienced surgeons specialising in complex spinal procedures.
  • State-of-the-art diagnostic and surgical equipment.
  • Minimally invasive techniques for faster recovery.
  • Comprehensive rehabilitation programs tailored to individual needs.
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Lumbar Disk Surgery Hospitals in India

Frequently Asked Questions

While several hospitals in Bhubaneswar offer lumbar disc surgery, the "best" choice depends on factors like the surgeon's expertise, hospital facilities, and patient reviews. CARE Hospitals are among the top choices, and they are known for their expertise and advanced technology.

Bhubaneswar has several skilled spine surgeons. However, the "best" surgeon depends on individual cases and patient preferences. It's crucial to research, read patient reviews, and consult with multiple surgeons before deciding.

The best treatment depends on the severity of your condition and individual factors. Non-surgical treatment options like physical therapy, pain management, and lifestyle modifications are first-line treatment approaches. Doctors recommend lumbar disc replacement surgery when these don't provide relief. 

Most patients recover well from lumbar disc replacement surgery. Recovery time varies, but many people experience significant pain relief and enhanced mobility within a few weeks to months after the procedure. Full recovery can take 3-6 months.

Aftercare typically involves:

  • Following pain management protocols
  • Gradually increase physical activity as advised by your doctor
  • Attending physical therapy sessions
  • Avoiding heavy weight lifting and strenuous activities for several weeks
  • Maintaining proper posture and ergonomics
  • Attending follow-up appointments with your surgeon

Your healthcare team will provide detailed aftercare instructions tailored to your needs.

Most patients recover fully within 3-5 weeks, with a return to normal activities in 3-6 months. Your surgeon will provide a more personalised timeline based on your specific case and progress.

After discharge, expect:

  • Some pain and discomfort- manageable with prescribed medications
  • Gradual improvement in mobility
  • Need for assistance with daily activities initially
  • Regular follow-up appointments
  • Prescribed exercises or physical therapy
  • Restrictions on certain activities

After surgery, avoid:

  • Bending, lifting, or twisting excessively
  • Sitting for prolonged periods
  • Engaging in high-impact activities or contact sports
  • Smoking, as it can hinder healing

While generally safe, potential risks include:

  • Infection
  • Bleeding
  • Nerve damage
  • Implant dislocation or failure
  • Persistent pain
  • Blood clots
  • Allergic reaction to implant materials

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