What is Lumbar Hernia?

Description: A herniated disc is a condition in which the outer parts of the intervertebral discs (intervertebral discs) between the vertebrae (vertebrae) that make up the spine wear out and the inner part of the disc (nucleus pulposus) protrudes outwards. This can put pressure on nerve roots or the spinal cord, causing symptoms such as pain, numbness or weakness.

Reasons: A herniated disc usually occurs for the following reasons:

• Aging: Discs lose their water content over time and lose their flexibility.
• Overload: heavy lifting, sudden movements or prolonged incorrect posture.
• Trauma Traumatic events such as falls or accidents.

Symptoms: A herniated disc can cause a variety of symptoms:

• Low back pain
• Pain in the legs (sciatica)
• Numbness or tingling
• Muscle weakness

Diagnosis: A herniated disc is usually diagnosed by the following methods:

• Physical Examination: Assessment of the patient by symptoms and physical examination.
• Imaging Methods: MRI (magnetic resonance imaging)

Microsurgical Treatment

Microsurgery is a surgical technique that we perform under a microscope using fine and precise instruments. In the treatment of herniated discs, microsurgery allows the herniated part of the disc to be removed.

Microsurgery is the first treatment option for radiologically advanced hernias in patients with severe hernias, prominent symptoms and defects in neurological examination. I do not recommend trying non-surgical hernia treatment methods in this patient group. Because each patient should receive the right and effective treatment specific to him/her. I have never applied non-surgical treatment methods to any of my patients who I thought needed surgery in the first place.

Method: It is performed under general or spinal anesthesia. Under a microscope, the herniated disc area is entered through a tiny incision, the hernia is drained and the nerve root is relieved. The procedure takes approximately 30 minutes. The patient starts walking approximately 4 hours after the operation, is discharged the same day or the next day, the wound heals within 1 week and can resume his/her work life.

Conclusion: A herniated disc is a condition that can significantly affect quality of life. With the right diagnosis and treatment methods, most patients can recover from their symptoms. Microsurgery offers an effective surgical option, especially for patients who do not respond to conservative treatments.