Can a second surgery be performed for lumbar disc herniation?

Written by Cheng Bin

Orthopedics

Updated on November 22, 2024

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Firstly, it should be clarified that for patients with lumbar disc herniation, if the condition recurs after surgery, a second operation is completely feasible. This is because there are many intervertebral discs involved, including L3-L4, L4-L5, and L5-S1, all of which can lead to lumbar disc herniation and subsequently cause symptoms of back and leg pain. Even if the patient has already undergone surgery for L4-L5, it cannot be guaranteed that L3-L4 or L5-S1 will not develop disc herniation. Therefore, it is possible for patients with lumbar disc herniation to undergo a second surgical treatment.

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Written by Lv Yao

Orthopedics

51sec

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How to diagnose a lumbar disc herniation?

Lumbar disc herniation often occurs due to degeneration of the lumbar spine, where the nucleus of the disc protrudes through the ruptured annulus fibrosus backward, compressing the spinal cord or nerve roots. This results in pain in the lower back, limited mobility of the lumbar region, and symptoms such as numbness, pain, and weakness in the lower limbs. For lumbar disc herniation, it is recommended to visit the orthopedic or spine surgery clinic of a standard hospital. Diagnosis should be confirmed with a physical examination by a doctor, along with imaging tests such as CT or MRI. These tests help determine the presence and extent of the disc herniation, and the affected segments. The treatment approach should be chosen based on the severity of the herniation.

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Written by Wang Fei

Orthopedics

47sec

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Can you run after lumbar disc herniation fusion surgery?

Lumbar disc herniation is a common clinical disease, with a high incidence rate mainly between the ages of 40 and 60, particularly among the younger adult population. If the lumbar disc herniation is severe, and procedures such as nucleotomy, laminotomy, and lumbar fusion surgery have been performed, one might wonder what type of exercise is advisable post-surgery, and whether running is appropriate. Regarding lumbar fusion surgery for disc herniation, running is not contraindicated. After a good recovery, one can engage in jogging. However, it is advised to avoid high-intensity running and instead opt for short-distance, slow-paced jogging. This can be completely acceptable post-surgery for those with lumbar herniation fusion.

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Written by Guan Yu Hua

Orthopedic Surgery

1min 1sec

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Contraindications of Lumbar Disc Herniation

Patients with lumbar disc herniation mainly exhibit symptoms such as discomfort in the lower back, numbness in the lower limbs, and pain. These are primarily symptoms of sciatica, such as numbness and pain along the back and outer sides of the thighs, calves, and dorsum of the foot. Patients may find it difficult to put on shoes and socks in the morning, and sometimes they may feel as if their tendons are short when walking. It is generally recommended that patients strictly rest on a hard bed and warm up the lumbar region. They can also take some blood-activating and pain-relieving medications. The main precautions include avoiding bending over to lift heavy objects, carrying heavy items, and bearing heavy loads. Patients should avoid sitting or squatting for long periods and should try to lie flat or walk upright instead. If conservative treatment for lumbar disc herniation is ineffective, interventional surgical treatment may be sought.

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Written by Chen Hui

Orthopedic Surgery

46sec

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Is hot compress useful for lumbar disc herniation?

Herniated lumbar discs causing back pain have very limited benefits from heat application during the acute phase, and in some cases, it may even exacerbate pain symptoms. Therefore, it is not recommended to apply heat early on. For the acute phase of a lumbar disc herniation, the first approach is to wear a lumbar support to stabilize and reduce the load on the lumbar spine. The second approach is to sleep on a firm mattress. The third is to undergo relevant imaging studies, such as CT or MRI, to determine the type of herniation. If it is a mild protrusion, physical therapies such as massage, manual therapy, or spinal traction can be considered for treatment.

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Written by Na Hong Wei

Orthopedics

1min 15sec

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What should I do if I have a lumbar disc herniation flare-up?

Once a herniated disc occurs, the first step should be general treatment, which involves rest and lying on a hard bed. A soft pillow should be placed under the waist and a soft pad behind the knee joints to help with triangular support recovery and reduce spinal pressure. Second, treatment with traditional Chinese medicine and herbs can be considered, which includes both oral and topical medications and usually has good effects. Third, traction and massage therapy can be considered. Traction is notably effective during the acute phase of a herniated disc. It mainly helps by reducing the pressure on the intervertebral discs, adjusting the gaps in the intervertebral foramina, and thus alleviating the irritation and compression on the nerve roots. Fourth, acupuncture and massage can also be considered, as acupuncture is particularly effective in alleviating symptoms of a herniated disc. Other treatments include small-needle scalpel therapy, target disc decompression through radiofrequency, disc intra-injections, or epidural block. If these treatments do not show significant results, or if there is no improvement and symptoms of cauda equina syndrome appear, then surgical treatment may be necessary.