Spine Treatment & Neurosurgery

Slipped (Herniated) Disc Surgery

Home Spine Treatments Slipped (Herniated) Disc Surgery
Senior Neurosurgeon & Spine Specialist
Dr. Dilip S. Kiyawat, Leading Spine & Neurosurgeon in the Field of SLIPPED (HERNIATED) DISC SURGERY

SLIPPED (HERNIATED) DISC SURGERY

Intervertebral discs are fibro gelatinous structures that are interposed between the two vertebral bodies at each level and work like a shock absorber. The outer layer is a tough fibrous ring annulus that contains a gelatinous pulp in the middle called nucleus pulposus. Lumbar intervertebral disc prolapse, commonly known as a herniated disc or slipped disc, occurs when the nucleus pulposus protrudes through cracks in the annulus and presses on nearby nerves.

This condition is often caused by aging, wear and tear, or sudden injuries such as lifting heavy weights, playing strenuous sports, etc. Symptoms include lower back pain, sciatica (radiating leg pain), numbness, and weakness. Diagnosis involves clinical evaluation, along with imaging studies like MRI or CT scans.

Conservative & Surgical Care :- Conservative treatments such as rest, physical therapy, and pain management are initially employed. In more severe cases, when conservative measures fail to provide relief, surgical options may be considered to alleviate pressure on the nerves. Surgical options include microdiscectomy or endoscopic disc excision, both being Minimally Invasive techniques. Early diagnosis and a tailored treatment plan are essential for the effective management of lumbar disc prolapse and for restoring functional well-being.

MICROSURGICAL & ENDOSCOPIC DISC EXCISION

Relieving sciatic nerve compression, preserving disc height, and restoring pain-free spinal mobility

Causes

Age-related Wear and Tear

As people age, the intervertebral discs lose water content and become less flexible, making them more prone to herniation under physical strain or spinal loading.

Symptoms

Nerve Root Irritation

Symptoms include lower back pain, sciatica (sharp radiating leg pain shooting below the knee), progressive numbness, tingling, and motor weakness.

Conservative treatments

First-Line Management

Conservative treatments such as rest, physical therapy, targeted anti-inflammatory medications, and structured pain management protocols are initially employed.

Rehabilitation

Early Mobilization

Early Mobilization and a gradual return to normal activities as guided by the surgeon, followed by core stabilization exercises.

Comprehensive Management

SLIPPED (HERNIATED) DISC SURGERY

Multidisciplinary treatment options tailored to the severity and longevity of disc displacement:

Pain Medications

Over-the-counter or prescription pain relievers. Exercises to strengthen core muscles and improve flexibility.

Early Mobilization

Gradual return to normal activities as guided by the surgeon. Exercises to strengthen the back and improve flexibility.

Epidural Steroid Injections

Anti-inflammatory medication injected into the affected area. Medications to relieve muscle spasms.

Body Mechanics Education

Learning proper techniques for lifting, bending, and sitting. Weight management and adopting spine-friendly habits.

Diagnostic & Operative Documentation

Radiological Findings & Surgical Extraction

Authentic medical records from Dr. Dilip Kiyawat's microdiscectomy cases:

L 4 - L 5 Slip Disc seen on mri Zoom
Pre-Op Imaging

L 4 - L 5 Slip Disc seen on mri

High-resolution sagittal MRI scan revealing focal posterior disc extrusion at the L4-L5 intervertebral segment.

dISC mATERIAL rEMOVED fROM l4-l5 DISC SURGERY Zoom
Surgical Specimen

dISC mATERIAL rEMOVED fROM l4-l5 DISC SURGERY

Direct surgical photograph of the compressed herniated nucleus pulposus material excised cleanly through micro-incisions.

When Is Slipped Disc Surgery Necessary?

While over 80% of disc herniations resolve with conservative therapy, surgical microdiscectomy or endoscopic decompression is indicated when:

Intractable Sciatic Pain Severe radiating leg pain persisting beyond 6 weeks despite medications, rest, and physical therapy.
Progressive Neurological Deficit Worsening muscle weakness in the leg or foot, including difficulty lifting the toes or foot (Foot Drop).
Cauda Equina Syndrome (Emergency) Loss of bladder or bowel sphincter control with numbness in the groin/saddle area requires emergency decompression.
Significant Lifestyle Limitation Inability to sit, stand, walk, or perform daily occupational tasks due to debilitating nerve compression.

For consultation and appointment booking, you can reach Dr. Dilip Kiyawat at

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