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All Posts Tagged: microdiscectomy



A microdiscectomy spine surgery is a type of minimally invasive spinal surgical procedure to remove any disc material that is pressing on a nerve root or spinal cord. The incision essential in a microdiscectomy is a little large than that of an endoscopic discectomy, however smaller than traditional open back discectomy. A microdiscectomy can be achieved as an outpatient procedure, with maximum patients being discharged on the same day of the procedure. It is very rare that a patient can be required to stay overnight in the hospital.

Traditional Microdiscectomy Spine Surgery Step-By-Step

A microdiscectomy spine surgery has following steps:

  • A microdiscectomy is performed via a 1 to 1½-inch incision inside the midline of the lower back.
  • First, the back muscles are lifted off the bony arch (lamina) of the backbone and moved to the side. Since these lower back muscles run vertically, they are held to the aspect with a retractor during the surgery; they do not want to be cut.
  • The surgeon is then able to input the spine by getting rid of a membrane over the nerve roots.
  • Operating glasses or an operating microscope permit the surgeon to genuinely visualize the nerve root.
  • In some cases, a small part of the inside facet joint is removed both to facilitate access to the nerve root and to alleviate any pressure or pinching on the nerve.
  • The surgeon may additionally make a small opening inside the bony lamina (called a laminotomy) if had to get access to the operative site.
  • The nerve root is moved to the side.
  • The surgeon makes use of small devices to go below the nerve root and remove the fragments of disc material that have extruded out of the disc.
  • The muscles are moved again into place.
  • The surgical incision is closed and steri-strips are placed over the incision to help maintain the skin in region to heal.

Microdiscectomy Success Rates

The success rate for microdiscectomy spine surgery is typically high, with one sizeable clinical study showing good or outstanding outcomes overall for 84% of people who’ve the procedure.

The scientific literature also points to some advantages for surgery, when compared with nonsurgical treatment, even though the distinction lessens over time in certain cases. One large study found that those who had surgical treatment for a lumbar herniated disc had greater improvement in signs for up to 2 years than individuals who did no longer have surgical procedure.


Potential risks of microdiscectomy

Microdiscectomy spine surgery has some complications:

  • Nerve root damage
  • Bowel/bladder incontinence
  • Bleeding
  • Infection
  • Possible buildup of fluid inside the lungs that may result in pneumonia
  • Deep vein thrombosis, which takes place when blood clots form in the leg
  • Pain that persists after the surgery

For further information call us on 815.412.6166

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When the term spinal surgery comes into our mind, we naturally thought about large incisions, long recovery periods, and painful rehab. Fortunately, surgical advances like the microdiscectomy spine surgery procedure have improved the process.

Microdiscectomy spine surgery is a minimally invasive surgical procedure performed on patients with a herniated lumbar disc. During this surgery, a surgeon will remove portions of your herniated disc to relieve pressure on the spinal nerve column. It is also sometimes called microdecompression or microdiskectomy.

Who benefits from microdiscectomy surgery?

If you’re wondering that if you’re a candidate of microdiscectomy spine surgery or not then here are you answer. You are a candidate if you have any or more of the following symptoms;

  • Significant pain, numbness or weakness in your leg or foot
  • Leg pain (sciatica) worse than back pain
  • Symptoms that have not improved with exercise, physical therapy or any medication
  • Diagnostic tests (MRI, CT, myelogram) shows a herniated disc
  • Weakness in leg, loss of feeling in the genital area, and loss of bladder or bowel control (Cauda equina syndrome)

How surgery is performed?

As microdiscectomy spine surgery is performed through back so the patient lies face down on the operating table. Steps are as follow;

  • A 1 to 1½-inch incision is made in the midline of the low back.
  • The back muscles are lifted off the bony arch of the spine and moved to the side.
  • The surgeon is now able to enter the spine by removing a membrane over the nerve roots.
  • In some cases, a small portion of the inside facet joint is removed to facilitate access to the nerve root and to relieve any pressure or pinching on the nerve.
  • The surgeon may make a small opening in the bony lamina if needed to access the operative site.
  • The nerve root is then gently moved to the side.
  • The surgeon uses small instruments to go under the nerve root and remove the piece of disc material that have exude out of the disc.
  • The muscles are then moved back into place.
  • The surgical incision is closed and stereo-strips are placed over the incision to help hold the skin in place to heal.


Complications of microdiscectomy spine surgery

As with any other surgery, there are some risks and complications with microdiscectomy spine surgery which are;

  • Bleeding
  • Infection
  • Possible buildup of fluid in the lungs that may lead to pneumonia
  • Deep vein thrombosis, which occurs when blood clots form in the leg
  • Pain that persists after the surgery
  • Nerve root damage
  • Bowel/bladder incontinence

Success rate of microdiscectomy spine surgery

The success rate for microdiscectomy spine surgery is generally high, with one extensive medical study showing good or excellent results overall for 84% of people who have the procedure done.

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What is Microdiscectomy Spine Surgery?

The spine is one of the most crucial parts of the body especially for the movement of the whole body. The worst result of spine injury or intensified spine pain is a lifelong disability of the patient. However, any less intense of serious spine disorder, injury or pain can also impact the movement of the body. The spine pain or injury can surely impact negatively on any one part of the body and as it gets increasing, other parts also start getting affected. Spine pain mostly starts from the back pain and travels towards the shoulder, arms, and neck.

There are different forms and reasons for spine pain and one of them us herniated disc.

Herniated disc

The herniated disc is the nerve which explains the spine issues like a ruptured disc or slipped disc. The herniated disc leads to degeneration of the tissues of the spine muscles. Doctors also state it as the early stage of degeneration. The bones located in the back to form spine are known as vertebrae. These bones are cushioned and protected by small discs which are known as a herniated disc.  The inflammation which causes herniated disc issue results in the pain in the neck or back. During the process of degeneration, a small twist of the backbone or any specific movement can lead to disc rupture. There are various treatments to cure degeneration and to get rid of pain and one of such treatments is Microdiscectomy Spine Surgery.

Process of Microdiscectomy Spine Surgery

The purpose of this surgery is to reduce the pressure from the nerves of the spinal nerve root during the surgery doctors cure the material which is causing the pressure on the spinal root nerves of the body. The Microdiscectomy Spine Surgery has proved beneficial in relieving the pain caused in legs because of sciatica or radiculopathy. Microdiscectomy Spine Surgery is the treatment which gives immediate results by curing the pain. This is one of the few types of spine surgeries which have a high recovery ratio. The recovery rate after a Microdiscectomy Spine Surgery is at least 85% to 89%. There are different ways to perform the surgery which are invasive Microdiscectomy which include outpatient lumbar discectomy- microdiscectomy and endoscopic discectomy. Doctors use the minimally invasive technique for open surgery. The benefit of this type of surgery is that there is a lack of risk of tissue damage. In the minimum invasive surgery, surgeons insert tubes in the body rather than going with the open incisions.

When to go for the surgery

The decision of going for the surgery is patients own, however, it is better to get treatment before the intensification of the pain. Intensive pain means that the degeneration process has increased very much. To evaluate whether the only option to cure the pain is Microdiscectomy Spine Surgery, doctors mostly prescribe lab tests. It helps in diagnosing the damaged part of the spine.

To learn about Microdiscectomy Spine Surgery and its side effects and benefits, please call on 815-412-6174.

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Microdiscectomy Spine Surgery’s Purpose of Procedure and Success Rate

In the case of microdiscectomy spine surgery, an exceptionally specialized procedure is performed on the spine, yet it is essentially utilized to decrease pain in another part of the body altogether. It is a fact that the spine is consists of a chain of bones each cushioned by an elastic disc that supports in both shock absorption and flexibility. On the off chance that a disc in the lower back turns out to be herniated and as a result, pushes on a spinal nerve, consequently, pain can radiate down a patient’s leg.

The procedure of microdiscectomy spine surgery is slightly invasive executed on the spine that works in a way to help most individuals feel prompt relief and return home the same or next day. The procedure is executed through a small incision, generally, one to one and-a-half – inches length, the objective of the procedure is to relieve the pressure on the affected spinal nerve by taking out a part of the bone or disc resulting in the pressure and pain.

During the microdiscectomy spine surgery, the spine’s structure remains intact, in light of the fact that this phenomenal surgery doesn’t require the cutting of joints, ligaments, or muscles. Patients who go through the procedure return to their normal life earlier, without leg pain, offering improved comfort and quality of life.

The Purpose of Microdiscectomy Spine Surgery

The key motive of this procedure is to surgically take out a part of the disc that is pushing on the nerve and hence, causing the pain. The objective is to take the pressure off the nerve yet at the same time retain as much of the disc as could be possible. The whole disc isn’t taken out, only the herniated part. The process usually takes on an average l around 60 minutes.

A timely return to normal routine is depicted with three exceptions. Heavy lifting, bending from the waist and delayed sitting are discouraged for the initial six weeks after surgery. Most patients can go up and down stairs when they return home from the hospital.

Success Rate of Microdiscectomy Spine Surgery

As per the statistics, the success rate of the procedure is commonly high, one extensive medical study presenting good or astounding outcomes generally for 84% of individuals who have gone through the strategy.

The report additionally indicates a few advantages for surgery, when contrasted with nonsurgical treatment, however, the distinction diminishes after some time in specific cases. One vast examination found that individuals who had surgery for a lumbar herniated disc had more noteworthy improvement in symptoms for as long as two years than the individuals who did not have surgery.

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2018-07-16 01

Wave off to your back pain and say ‘Hi’ to your pain-free life!

Microdiscectomy, also identified as microdecompression, is one of the commonly adapted minimally invasive spine surgery procedures. The major purpose of microdiscectomy is to seize pressure off your nerves to ease your back pain. Microdiscectomy issometimes referred as microdecompression or microdiskectomy. This surgical method is the best option for those who are experiencing herniated lumbar disc.

Conventionally, discectomies are carried out using an open technique. Your general practitioner makes a comparatively large incision, together with cutting some of your back muscles, so that he or she can take a look at your spine. Despite the fact that this technique is helpful, it can become a cause of major muscle damage and recovery from such damage is generally painful and slow. Microdiscectomies have a similar goal as open discectomies. It aims to get rid of the part of your intervertebral disc that’s putting pressure on your nerve and causing you pain.

However, as in other minimally invasive procedures, doctors make use of exceptional tool and visualization equipments that let them make very minute incisions to decrease injury to your back muscles. The results can be a quicker along with less painful recovery.

The achievement rate for microdiscectomy spine surgery is normally high and now you can get expert advice from Dr. Zaki Anwar by just making a phone call at 815-464-7212. He is a world renowned Pain Medicine Physician who has been practicing ways to cure pain leading to serious problems for the past several years and has achieved remarkable results. Dr. Zaki has his interest in discovering every possible treatment option before recommending surgery. “It takes a specialist familiar with treating nervous system conditions to determine which treatment approach is best for each individual patient”, adds Dr. Zaki.

Spinal surgery, in the past meant large incisions, long recovery periods, and painful rehab, but now, providentially, surgical advancements like the microdiscectomy procedure has enhanced the way of living.

A microdiscectomy is characteristically carried out for 2 reasons:

  1. A fragment of your intervertebral disc may have broken away from your disc, and it’s pressing on your spinal nerves or your spinal cord.
  2. Your disc may still be intact, but part of it may be bulging or protruding and pressing on your spinal nerves or your spinal cord.

In addition to the usual risks of surgery which includes infection and blood loss, there are other possible complications for microdiscectomy:

  • Your pain can come back.
  • Your disc can re-herniate.
  • Not all of your disc material may have been removed during your procedure.
  • Your spinal cord, nerves, and blood vessels can be injured.

The good news is that a lot of patients have noteworthy pain relief from a microdiscectomy procedure and they can speedily go back to their regular lives, usually in less than 2 weeks. However, your doctor will counsel you on how quickly you can return to exercise and your other daily activities and what precautions are to be kept in mind. If you are planning to undergo microdiscectomy procedure, I would like to wish you a successful output!

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The Microdiscectomy procedure reduces the stress on the spinal nerves

Commonly performed for a Herniated disc, the microdiscectomy procedure reduces the stress on the spinal nerve network by removing the substance that is the root cause of pain

The Microdiscectomy procedure as elaborated by Dr.Zaki Anwar, MD:

A microdiscectomy procedure uses minimally invasive techniques to provide relief from pain caused by a lower herniated disc.

During the course of procedure, a tiny part of the bone over the nerve root or the disc substance from beneath  the nerve root is removed out. A microdiscectomy is also known as the micro decompression as compared to other conventional treatments  is potentially efficient  for reducing leg pain that is sciatica or radiculopathy


  • For leg pain, patients report relief in leg pain immediately after the microdiscectomy. They leave for home with potential pain relief
  • For deadness, feebleness, and other nuerological symptoms in the leg and foot. It may take several weeks and months for the nerve root to completely heal and any numbness and weakness may subside

Usually, microdiscectomy is known as quite reliable surgery for quick relief or almost quick relief of sciatica pain from lower herniated disc

Slightly Invasive Microdiscectomy

There are generally two common options in an outpatient lower spinal Discectomy

  • Microdiscectomy
  • Endoscopic Discectomy

A Microdiscectomy is often treated as the most remarkable and pocket friendly procedure for removing the herniated part of the spinal disc that puts pressure on the nerve. Compared to other open surgical procedures the Microdiscectomy involves a slightly small incision and insignificant tissue damage and disturbance. A handful of surgeons has now achieved the adequate experience and skills with endoscopic and slightly invasive techniques which include performing surgery through tubes administered into the targeted area, instead of an open incision. A Microdiscectomy is generally performed by an orthopedic surgeon and pain management specialist

Implications for Microdiscectomy

If an individual’s leg pain is due to disc herniation, it will alleviate within 6 to twelve weeks of the pain arising. As long as the pain is bearable and the patient does not lose mobility , it is highly advisable to delay surgery for a short period of time to determine if the pain will resolve with nonsurgical treatment alone. If the pain is debilitating and severe, it is practical to consider surgery sooner

There are potential reasons why microdiscectomy is beneficial :

  • Leg pain has been experienced for at least six weeks
  • An MRI scan or other test shows a herniated disc
  • Leg pain (sciatica) is the patient’s main symptom, rather than simply lower back pain
  • Non surgical treatments such as oral steroids, NSAIDs, and physical therapy have not brought sufficient pain relief
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How microdiscectomy surgery saved Michael Porter Jr. and helped him get back to competition

Porter has failed to hit all this season because of a back injury to which he had no other option than a surgery to correct. The surgery was a Microdiscectomy of the spinal disc and the team at the Pain Management Institute explains that Porter would take a couple of months to recover

What is Microdiscectomy?

Microdiscectomy surgery is also known as the micro decompression, and is among the most practiced minimally invasive spine surgery procedures. The main target of Microdiscectomy surgery  is to reduce the pressure off your  nerves to relieve your back pain

Traditionally, discectomies are carried out with an open technique. Your surgeon might make a comparatively large incision, involving the cutting your back muscles so that the view of your spine becomes quite clear. While this technique may bring you benefits, it can cause significant muscle damage and recovery is usually painful and slows down. Microdiscectomy surgery has the same goals as invasive discectomies, it removes the part of your intervertebral disc that cause pressure on your nerve and cause you pain

However, the microdiscestomy spinal surgery procedure is minimally invasive and take advantage of special instruments and visualization tools that allows them to make small incisions to minimize the risk of injury to your back  muscles. The results are quicker and less painful recovering

Porter talks about his injury, he remembers the injury first occurred about two years ago while he was playing he jumped and was hit in the air and came down to the floor flat on his back. The injury became worse in a few weeks causing debilitating pain. Porter and his parents planned to travel Chicago, Frankfort to visit the Pain Management Institute, where after a complete physical examination, they were given multiple options by Dr Zaki Anwer, Pain Management Specialist and Medical Director. And it was eventually decided that Microdiscectomy spinal surgery is the best option. Because of my severe back pain “I had forgotten what it is like to play normal”. “That’s why I’m blessed to have visited Dr. Zaki Anwer and had Microdiscectomy as because of the surgery, I’ll be far better than I was playing without those limitations”.

The patients undergoing Microdiscectomy Spinal Surgery primary need physical therapy as a way to recover soon. Porter said his physical therapy  includes not sitting for longer periods. Porter said “He believes he will recover soon from the back surgery and eventually be 150 percent fine”.

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Recover your spine with Microdiscectomy spine surgery


Microdiscectomy spine surgery is commonly known as the slightly invasive therapy, as there is slight interruption with the tissues and the muscles in the lower back

The Microdiscectomy spine surgery is potentially beneficial for addressing legs pain, sciatica. The surgery allows the patients to cope up with their routinely activities soon after


For the Micodiscectomy spine surgery the patient lies face down on the examination table for surgery, local anesthetic is given the surgery takes a couple of hours

The basic steps of microdiscectomy spine surgery include;

An incision of 1or 1 and half inch in the center of the lower spine, then the muscles covering the bone, of lower spine are pulled and retained at a side, since the muscles run vertically so they are not required to be cut off during the surgery, the physician is able to reach the spine by removing thin layer off the spinal cord and with the help of operating microscope nerves can be clearly seen, the nerve root is delicately retained and so the small pieces of  disc material that has, ejected out is removed. The muscles and the nerve roots are put back to the place and the surgical incision is closed and allowed to heal

Post surgical care

Patients are commonly advised to remain at the physicians clinic for a couple of hours, the physician might observe your vital signs before you leave the clinic Soon after the surgery  the sufferer can return to their daily activities, patients are usually advised to go for a walk after a few hours of  Microdiscectomy spine surgery

The other postoperative care instructions might include, instructions for home based care, pain medications and antibiotics to avoid any infections and a follow up check up

Microdiscectomy spine surgery, risks and complications

As in other sorts of spine surgery, there are some potential risks attached to the Microdiscectomy spine surgery

In very rare cases of Microdiscectomy spine surgery a dural tear may occur,  causing Cerebrospinal fluid leakage. However, the CSF leakage might not bring any harm to the effects of the surgery, but the candidate must take several careful steps to allow the leak to seal

Other risks and complications include the following:

  • Nerve root damage
  • Bowel/bladder incontinence
  • Bleeding
  • Infection
  • Possible buildup of fluid in the lungs that may lead to pneumonia
  • Deep vein thrombosis, which occurs when blood clots form in the leg
  • Pain that persists after the surgery
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Here Is An Overview To Microdiscectomy!

Amongst the surgical processes that prove to be beneficial in leg and back pain, Microdiscectomy is the best one in being able to bring the patients back to a normal life. Adding to this, the success rate of observed in this surgical method is normally high granting excellent results to those who opted for this process. According to an estimate it has also been observed that the people suffering from lumbar herniated disc when chose surgery find improvements in their symptoms as compared to the ones who didn’t chose surgery.

What for Microdiscectomy!

In order to remove the herniated portion of a disc that is causing pressure on the nerve, microdiscectomy is said to be as the process that has the ability in treating the problem in the most effective manner. Known to be as a minimally invasive procedure, the process is carried out by a small incision with little or no tissue disruption.

The expertise in this process has come to the extent that the surgeons perform the procedure with endoscopic or minimally invasive techniques. In this, no open incision is required rather tubes are inserted into the area to be operated.

Why Is Microdiscectomy Suggested!

In case the leg pain, being faced by the patient is mild then it can be controlled with medications or some other non-surgical treatments. But, in case the pain is severe, then it is better to go for a surgical process that has good number of successful patients.

You should go for Microdiscectomy procedure if:

  • The patient is experiencing leg pain since six or more weeks
  • A herniated disc condition has been proved through MRI scan or other tests
  • Apart from the lower back pain, sciatic pain involving limited range of movement is the patient’s main symptom
  • No relief has been experienced through non-surgical treatments such as physical therapy, oral steroids, NSAIDs etc

Results after Microdiscectomy

As compared to non-surgical processes and the open discectomy procedure, microdiscectomy gives its patients comparable results with minimum recovery times. Patients after this process would be able to return to their normal activity in two to four weeks.

If you or any of your loved one is suffering from Microdiscectomy or any other body pain, get a professional advice from Dr. Zaki Anwar by placing an appointment at (815) 464-7212). He is an expert anesthesiologist and certified Pain Management Specialist who has been practicing pain relief techniques for the past several years with effective results.

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The Recovery, Benefits & Procedure of Microdiscectomy

People who are suffering from lumbar herniated disc are the right candidates of microdiscectomy also known as microdecompression or microdiskectomy. Previously there were the times when surgical methods involved larger incisions and long recovery periods. But now with this process, which is a minimally invasive surgical procedure, the specialists are able to treat the lumbar herniated disc patients by removing the portions of the herniated disc and thus relieving pressure on the spinal nerve column.

How is the Procedure Carried Out!

The main aim of the microdiscectomy procedure is to remove the disc material that is causing pressure on the nerves. The process is carried out under general anesthesia, in which the patient is lying face down. In these steps it is carried out:

  • Upon the affected disc, a 1 to 1 ½ inch incision is made
  • Through a lighted microscope, the surgeon is able to see the affected area
  • A small portion of the bone I removed by the surgeon
  • The damaged herniated tissue is removed with a scissor like tool that eventually lessens the pressure on the nerve
  • With sutures the incision is closed
  • The patient opting for this procedure will be discharged the same day or the next morning

Who Can Benefit from Microdiscectomy?

People who are facing the condition of lumbar herniated disc must also be well aware of its worse condition which is sciatica. When the spinal nerve is compressed, it gives to rise to sciatic condition in which any tasks involving walking sitting standing becomes problematic. The sciatic patients suffering from the pain since many days are the right candidates that will definitely benefit from microdiscectomy.

Recovery Time

As compared to the other invasive procedures, the recovery time is much shorter and the people after the treatment are able to leave the hospital the same day or within 24 hours. However, after the microdiscectomy procedure, your physical therapist will instruct regarding the bending, twisting and lifting movements. He/she will recommend you the exercises that will help in importing the strength and flexibility of the muscles.

If you or any of your loved one is suffering from lumbar herniated disc or any other body issue, get a professional advice from Dr. Zaki Anwar by placing an appointment at (815) 464-7212). He is an expert anesthesiologist and certified Pain Management Specialist who has been practicing pain relief techniques for the past several years with effective results.

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