Persistent lower back pain that travels into the buttock, thigh, calf, or foot can indicate pressure on a lumbar nerve. When this happens because of a herniated disc and symptoms continue despite appropriate non-surgical treatment, Lumbar Microdiscectomy may be considered.
For patients in Pune and across Maharashtra, treatment decisions should be based on symptoms, neurological findings, MRI results, and response to previous care rather than imaging alone.
Understanding Lumbar Microdiscectomy
Lumbar Microdiscectomy is a focused procedure that removes the portion of a damaged disc pressing on a nerve root. It is commonly considered for sciatica, persistent leg pain, numbness, tingling, or weakness caused by lumbar disc herniation.
The aim is to relieve nerve pressure while preserving as much healthy spinal tissue as possible.
How the Procedure Is Performed
The procedure is usually performed under anaesthesia. Through a relatively small incision, the surgeon reaches the affected spinal level using specialized instruments and magnification.
The disc fragment causing nerve compression is removed carefully. The entire disc is generally not removed.
When Surgery May Be Considered
Lumbar Microdiscectomy may be discussed when there is:
- Persistent sciatica despite conservative treatment
- MRI-confirmed nerve compression
- Progressive leg weakness
- Significant numbness
- Severe radiating pain affecting daily activities
- Recurrent symptoms from disc herniation
Recovery After Lumbar Microdiscectomy
Many patients can begin walking early after surgery when medically appropriate. Leg pain may improve sooner than numbness because compressed nerves can take time to recover.
Desk-based work may resume within a few weeks in selected patients, while physically demanding occupations can require a longer recovery period.
Benefits and Possible Risks
Potential benefits include reduced nerve-related pain, improved mobility, and better daily function.
Possible risks include:
- Infection
- Bleeding
- Nerve injury
- Dural tear
- Persistent symptoms
- Recurrent disc herniation
- Anaesthesia-related complications
Preparing for Treatment
Patients may need imaging review, blood tests, medical fitness assessment, and medication evaluation. Smoking cessation, diabetes control, and following medication instructions can support recovery.
Care After Surgery
Patients should follow guidance regarding wound care, walking, physiotherapy, lifting, bending, driving, and return to work. Fever, worsening weakness, wound discharge, or bladder and bowel changes require prompt assessment.
Common Questions About Lumbar Microdiscectomy
Does surgery remove the complete disc?
Usually, only the portion causing nerve compression is removed.
Can the disc herniate again?
Recurrence can occur in some patients, making rehabilitation and long-term spine care important.
Does surgery treat all back pain?
The procedure mainly addresses symptoms caused by nerve compression.
If persistent sciatica or a confirmed lumbar disc herniation is limiting your movement, work, or sleep, an assessment with Dr. Rahul Chaudhari in Pune can help determine whether Lumbar Microdiscectomy is appropriate for your condition.
