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Home » Blog » Before and After Lumbar Microdiscectomy: What to Expect

Before and After Lumbar Microdiscectomy: What to Expect

December 12, 2023

Navigating Your Lumbar Microdiscectomy Journey

The lumbar microdiscectomy uses minimally invasive techniques to remove herniated discs from the spine that contribute to nerve compression. For many people, nerve compression causes significant chronic pain. It can also lead to muscle weakness, tingling, and numbing.

In this blog, we’ll look further at the following:

  • Preparing for lumbar microdiscectomy
  • The day of your lumbar microdiscectomy
  • The lumbar microdiscectomy process
  • Immediately after lumbar microdiscectomy
  • The recovery process at home
  • Long-term outcomes and expectations

Preparing for Lumbar Microdiscectomy

Before your surgery, it’s important to follow your spine surgeon’s instructions on preparations. This makes sure your safety and the effectiveness of the spine surgery are prioritized.

Adjust Medications

Follow your doctor’s guidance on stopping specific medications before, during, and after your procedure to minimize risks.

Quit Smoking

Stop smoking or using tobacco products, as these can hinder bone growth and decrease the success of your lumbar laminectomy.

Fast Before Surgery

Adhere to your doctor’s instructions on abstaining from food and drink the night before surgery to reduce the risk of complications.

Get a Ride

Arrange for transportation home on the day of your procedure, as you’ll still be recovering from anesthesia.

Consultation and Pre-Surgical Assessments

A pre-surgical assessment considers your medical history and lifestyle in the likelihood of surgical success. Factors like long-term smoking or diabetes can significantly alter the effectiveness of the surgery. If your doctor believes the risks outweigh the benefits, they can discuss alternative options.

The Day of Your Lumbar Microdiscectomy

Anesthesia and Initial Procedure Steps

Before the lumbar microdiscectomy surgery begins, you’ll be given a local anesthetic to make the entire process pain-free.

The Lumbar Microdiscectomy Process

During the procedure, your surgeon will create a small incision in your lower back (about the size of a nickel/2 cm). Using surgical tools, they will remove the herniation or ruptured disc to release the pressure on the spinal nerves. The incision site is closed up, and you’ll be moved to the next step.

Immediately After Lumbar Microdiscectomy

Initial Recovery and Hospital Discharge

When you first wake up, you’ll feel groggy as you slowly come off the anesthesia. You may feel some soreness at the incision site as well. The majority of patients get to leave the same day of the procedure, although some may be asked to stay an additional day or two.

The Recovery Process at Home

Physical Therapy and Rehabilitation

Your doctor will provide you with detailed instructions to navigate your at-home recovery. Make sure to stay on top of your recovery regimen. Practices post-surgery include recommended stretches and exercises, taking part in physical therapy, going to check-ups, and taking your pain medicine as prescribed.

Long-Term Outcomes and Expectations

Lumbar discectomy aims to eliminate the side effects of nerve compression in the lower back. When successful, you’ll get to return to life as it was before chronic back and leg pain and do the things that disc degeneration has halted you from doing.

Potential Complications and How to Address Them

Your doctor is here to make sure your recovery time goes smoothly. You need to be vigilant of your concerns so they can address them. Mild to moderate pain can be brought up at your next appointment, but if you’re experiencing any of the following, make sure to contact your doctor immediately:

Call Your Doctor If You Have…

  • Bleeding, swelling, drainage at the incision site
  • Significant pain that doesn’t respond to medication
  • Bladder/bowel problems
  • Difficulty breathing
  • Intense throbbing or cramping in the leg or arm
  • Sharp chest pain

What is Lumbar Laminectomy?
Anti-Inflammatory Herbs and Spices

Dr. Steven Siwek

Steven M. Siwek, MD, MBA, is one of the Valley’s leading pain management specialists. Dr. Siwek completed medical school at New York Medical College and finished his residency and fellowship at Mayo Clinic. He also received a Masters of Business Administration at Graziadio School of Business and Management at Pepperdine University.

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