Despite what is commonly thought, disc hernias do not always need an operation to treat them successfully, in fact the treatments always start with conservative measures, and only in those cases where the hernia is in a very advanced stage or the patient has not responded as expected to conservative treatments, is that the possibility of surgery is raised.
So when is it necessary to operate a herniated disc? To answer this question, we can start from different criteria with which we have an approximation to the chances of success of surgical treatment, such as the location of the hernia. Broadly speaking, it can be said that surgery to treat a hernia in the lumbar region is more effective than in a hernia in the cervical region, and although this information is not sufficient to define whether or not the operation is convenient, it is criterion that starts from an evaluation of the level of compression of the nervous structures.
As is known, one of the risks of herniated discs due to the complications that it may involve is that it causes nerve compression, which causes symptoms of severe pain, among others. In many cases, conservative treatment is not entirely effective in the face of severe compression, and that is when surgery is recommended, as in cases where horsetail syndrome or Brown Sequard syndrome or myelopathy is present.
On the one hand, horsetail syndrome is when the compression of the nerve roots located at the base of the spine are compressed, causing alterations in the functioning of the intestines, bladder, sexual organs and legs, while that Brown Sequard syndrome consists of the loss of sensation in different parts of the body and paralysis, and finally cervical myelopathy that causes the loss of progressive strength.
If these syndromes do not occur, the progress in the recovery of the patient is evaluated under conservative treatment, and in the event that no improvement is presented within six to twelve weeks, surgery is done by spine surgery hospitals in Delhi. This in particular in cases where there is a loss of strength that does not recover and irradiation of pain to the arm or leg, an intense pain that limits the quality of life of the patient presenting with the herniated disc.
At this point it is worth mentioning that undergoing a surgical procedure, although it is a medical recommendation, it is the patient's decision, but you should be aware that the sooner the operation is done, the lower the sequelae caused by nerve compression, and in the case of sensitivity and strength,
Now, there are some factors that spine surgery hospitals will assess and inform their patients that they are under a herniated disc treatment regarding the realistic expectations that can be had with surgery. First, surgery is not effective in relieving pain in the back or neck caused by a lumbar or cervical hernia but only acts on the pain caused by the compression of the nerve roots, that is, on the pain that radiates to the arm or leg.
For this reason, it is only recommended to operate when the pain that causes the most discomfort is irradiated. Regarding this, it should also be taken into account that although there is an improvement in pain relief after the operation, after a while, it could return, then except in those cases in which the irradiated pain is the cause of suffering in the patient, the condition can be overcome with conservative treatment.