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Herniated Disc

Posted on 1/30/20 at 6:52 am
Posted by Babboo
New Orleans
Member since Jul 2013
1150 posts
Posted on 1/30/20 at 6:52 am
I’m 29 years old and I’ve got two herniated disk in neck. Has anyone had replacement surgery, injections, etc. on these? I will be getting a few opinions from orthopedist before making a decision. Thanks!

This post was edited on 3/3/20 at 9:56 am
Posted by DeafJam73
Baton Rouge
Member since Sep 2010
18400 posts
Posted on 1/30/20 at 7:13 am to
What caused your injury? I’ve dealt with a bulging disc in my lower back, but never a full blown herniation. All I can say is listen to your doctor’s advice post-op. Then I would find the best physical therapist you can afford and see that person often.
Posted by Babboo
New Orleans
Member since Jul 2013
1150 posts
Posted on 1/30/20 at 7:41 am to
I think it has been a thing for years, but I messed it up again about a month ago while lifting. Had 24/7 pain for 3 weeks even with treatment, got MRI last week and results yesterday.
Posted by Lakeboy7
New Orleans
Member since Jul 2011
23965 posts
Posted on 1/30/20 at 3:25 pm to
(no message)
This post was edited on 2/11/21 at 11:44 am
Posted by Zappas Stache
Utility Muffin Research Kitchen
Member since Apr 2009
38653 posts
Posted on 1/30/20 at 5:30 pm to
quote:

Neurosurgeon, don’t waste your time with an Ortho


This.
Posted by Babboo
New Orleans
Member since Jul 2013
1150 posts
Posted on 1/30/20 at 5:49 pm to
Lakeboy, thanks for the heads up. Any reason why though?
Posted by Big Scrub TX
Member since Dec 2013
33357 posts
Posted on 1/30/20 at 5:57 pm to
quote:

Lakeboy, thanks for the heads up. Any reason why though?
Neuros are who will work on your spine, so that's who you should focus on. Good luck with this shite, man. I had a lumbar herniation and it was god awful. I can't imagine it in my neck.
Posted by Babboo
New Orleans
Member since Jul 2013
1150 posts
Posted on 1/30/20 at 6:52 pm to
Scrub, did you have surgery ?
Posted by Lakeboy7
New Orleans
Member since Jul 2011
23965 posts
Posted on 1/30/20 at 7:38 pm to
(no message)
This post was edited on 2/11/21 at 11:40 am
Posted by mtcheral
BR
Member since Oct 2008
1935 posts
Posted on 1/30/20 at 10:04 pm to
You can try mechanical traction. PT can most certainly help with conservative management to try before getting neuro to cut on it.
Posted by Big Scrub TX
Member since Dec 2013
33357 posts
Posted on 1/31/20 at 6:00 pm to
quote:

Scrub, did you have surgery ?
Yessir. I had a microdiscectomy of a lumbar disc. One reason I got comfortable with the idea was they really didn't have to go near my spinal cord. I'm not sure if that's true or not for the cervical spine, so I would ask about that.

The impingement of the disc on my nerve was such an on/off binary effect, that I woke up from the procedure with 100% of the pain gone. Of course then, you have to deal with treating the actual surgical site gingerly. But I got into PT about 4 weeks in, and then graduated from that to personal training about 2 months later. I've kept up with that...even played in my old basketball league last night and felt NOTHING!
Posted by Big Scrub TX
Member since Dec 2013
33357 posts
Posted on 1/31/20 at 6:04 pm to
quote:

You have ruptured disc in your spine. PT cant help with that, its a structural problem and exercise and certain movements is not going to fix that.

Orthos are great for knees, shoulders, hips etc, they fix broken joints, broken bones. But your disc rupture is impinging on your spinal column, you need a neurosurgeon for that type of critical work.


quote:

You can try mechanical traction. PT can most certainly help with conservative management to try before getting neuro to cut on it.


I agree with both of these, but you should avoid the mistake of thinking PT can do too much. For merely bulging discs, I would consider giving PT a longer time (particularly if there is an MRI they can work from.) But with an actual herniation, I think it's mostly wishful thinking to hope for much help down this avenue.

It comes down to this: in a certain % of cases, the body will "digest" or otherwise fix the bulging/herniated disc by itself. The more severe, the lower the %. If you can take the pain, then you can ride with it for as long as you want to see if this happens. (There are risks with this approach too - you could suffer permanent nerve damage if the impingement is bad.)

I think with certainty, you should see a neuro. That doesn't mean you have to do surgery, but you need a real doctor to look at an MRI of the situation so you can make an informed decision.

You also need to realize that heating/icing/stretching and all of that typical type of casual advice is likely no longer in play here.

Good luck, my man.
Posted by Coater
Madison, MS
Member since Jun 2005
33059 posts
Posted on 2/1/20 at 5:15 am to
I’d try everything else short of narcotics before undergoing surgery
Posted by Babboo
New Orleans
Member since Jul 2013
1150 posts
Posted on 2/1/20 at 9:49 am to
Thanks for the help! I’ll update after I visit with a neuro.
Posted by SquatchDawg
Cohutta Wilderness
Member since Sep 2012
14160 posts
Posted on 2/1/20 at 4:44 pm to
Find the best spine doctor you can in your area. Neck procedures are very dangerous so you need somebody good working with you.
Posted by GeauxLaMike77
Madisonville
Member since Jun 2019
54 posts
Posted on 2/1/20 at 11:02 pm to
I would try the microdiscectomy before doing the replacement procedure. It’s much less invasive and doesn’t require any hardware to be installed. I have mine scheduled for the 11th of February.

Posted by saderade
America's City
Member since Jul 2005
25730 posts
Posted on 2/2/20 at 8:24 am to
quote:


I would try the microdiscectomy before doing the replacement procedure. It’s much less invasive and doesn’t require any hardware to be installed. I have mine scheduled for the 11th of Februar
There is no such thing as microdiscectomy in the cervical spine. For cervical spine surgery you can have an ACDF (anterior discectomy and fusion) or an artificial disc replacement surgery.
To the OP, the lower level disc herniation is pretty significant and will probably require surgery. The question is will the upper level also need to be done. And if so then you would probably have to fuse the level in between them resulting in a 3 level fusion.
On the positive side, most people do very well after having a neck fusion. Peyton Manning play a few more years in the NFL after a one level.
Posted by Big Scrub TX
Member since Dec 2013
33357 posts
Posted on 2/3/20 at 11:35 am to
quote:

anterior discectomy
Just curious - how does this differ from the micro?
Posted by lsubuddy
houma, la
Member since Jul 2014
4293 posts
Posted on 2/3/20 at 1:10 pm to
I'm inoperable for herniated disc in lower back. I had 3 series of steroid shots- gained weight , did no good.
Wish you the best
Posted by 225Tyga
Member since Oct 2013
15779 posts
Posted on 2/3/20 at 1:38 pm to
man that fuking sucks. youre looking at some sever downtime and a bitch of a surgery
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