Lumbar Microdiscectomy

A microdiscectomy, also known as microdecompression or microdiskectomy, is a surgical procedure performed to alleviate symptoms caused by a herniated or bulging spinal disc in the lumbar (lower back) region. This minimally invasive surgery aims to relieve pressure on spinal nerves, reduce pain, and improve mobility.

Indications for Microdiscectomy:

Microdiscectomy is typically recommended when conservative treatments, such as rest, physical therapy, and medications, fail to provide relief for specific conditions. The procedure is commonly used to treat:

  • Herniated Disc: When the soft inner portion of a spinal disc protrudes through the outer layer, it can press on nearby nerves, causing pain, numbness, or weakness.
  • Bulging Disc: Similar to herniation, a bulging disc involves the disc extending beyond its normal boundaries and potentially compressing spinal nerves.

The Procedure:

  • Anesthesia: Microdiscectomy is performed under general anesthesia or local anesthesia with sedation to ensure the patient is comfortable and pain-free during the surgery.
  • Incision: A small incision, usually less than an inch long, is made in the lower back directly above the affected disc.
  • Accessing the Disc: The surgeon uses specialized instruments and a microscope to access the spinal canal. The surrounding muscles and tissues are gently moved aside to reach the affected disc.
  • Removal of Herniated Tissue: Using precise techniques, the surgeon carefully removes the portion of the herniated or bulging disc that is pressing on the nerves. This relieves pressure and alleviates symptoms.
  • Closure: Once the procedure is completed, the incision is closed with sutures or surgical adhesive, and a sterile bandage is applied.

Recovery and Rehabilitation:

Recovery from a microdiscectomy is generally quicker than from traditional open surgery because it involves smaller incisions and less disruption of surrounding tissues. Patients are typically encouraged to:

  • Gradually Increase Activity: Patients are usually encouraged to start walking the day after surgery and gradually increase activity levels under the guidance of their healthcare team.
  • Pain Management: Pain at the surgical site is common but usually subsides over time. Pain medications are prescribed to manage discomfort during the initial recovery phase.
  • Physical Therapy: Some patients may benefit from physical therapy to improve back strength and flexibility.
  • Resuming Normal Activities: Most patients can return to light activities within a few weeks, with a gradual return to more strenuous activities over several months.
  • Follow-Up: Regular follow-up appointments with the surgeon are essential to monitor progress and ensure the surgical site is healing properly.

Expected Outcomes:

Microdiscectomy has a high success rate in relieving symptoms caused by herniated or bulging discs. Many patients experience significant pain relief and improved mobility, allowing them to return to their regular activities.

In summary, microdiscectomy is a minimally invasive surgical procedure used to treat herniated or bulging discs in the lower back. It aims to relieve pressure on spinal nerves and reduce associated symptoms. With proper post-operative care and rehabilitation, patients can often expect a successful recovery and improved quality of life.

What is a Lumbar Microdiscectomy?

This surgery is done for patients with lumbar radiculopathy from a disc herniation or foraminal stenosis. Patients are put to sleep with general anesthesia and then turned prone (face down). The level localized through X-Ray and accessed through a small incision in the lower back measuring 1.5 inches in length. Using a microscope, a small amount of the lamina is removed and the disc space identified. The disc fragment is then removed, leaving the majority of the non-herniated disc intact.

Meet the Team

Two Surgeon Model

Your surgery is performed by both a Neurosurgeon and Orthopedic Spine Surgeon for optimal safety and outcome. The Neurosurgeons will approach the spine and decompress the nerves and spine cord while the Orthopedic Surgeon will perform the fusion. Each surgeon is there during the entire surgery assisting the other with their particular part. Having two surgeons decreases the chances of any errors or problems and decreases the length of surgery.

The Lumbar Spine Center is dedicated to the treatment and outcomes of patients who suffer from problems related to the lumbar spine. Our program is focused on high quality clinical outcomes and the most effective treatments for all conditions related to the lumbar spine. To learn more, schedule a consultation at one of our two locations.  

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    Based on 74 reviews
    Angelo Troiano
    Angelo Troiano
    November 14, 2022
    Very professional and thorough with my surgery.
    Faith Schwenker
    Faith Schwenker
    March 22, 2022
    Dr. Abraham’s did my surgery and it was a great success. After nearly 8 years of pain, I finally found a doctor who could help me. My sciatica nerve was compressing my L4 and L5 which was giving me pain and a very poor quality of life. Not only does Dr. Abraham’s have a great bedside manner, but also he certainly knows the complexities of the spine. Thank you so much for giving me my life back!! P.S. I have referred his name to several of my friends and they too have had a successful outcome!!
    Kathleen Cully
    Kathleen Cully
    May 28, 2021
    Dr. Abrahams is an extremely compassionate and highly skilled neurosurgeon who, along with Dr. C. Shannon, saved my husband's life by removing a complicated malignant metastatic brain tumor during a very long surgery. In addition, Dr. Abrahams has been my surgeon for several spinal procedures and I trust him with my life.
    Kathleen Darcy
    Kathleen Darcy
    February 22, 2021
    My experience was great 😊. Dr Abraham was fabulous.
    Xavier Masi
    Xavier Masi
    February 15, 2021
    Dr. Abrahams is the best, very caring and takes time out to listen instead of rushing!!! thanks Doc.. I might have to come see you again. Anthony
    February 15, 2021
    😷 Dr Abrahams is THE BEST! He is the absolute best brain & spine surgeon by far! His group is beyond excellent! My back & neck had been fractured in an accident, and I made the mistake of seeing a "spine doctor on Tarrytown Road," who did not want to see me again unless I needed more surgery! I was outright denied an appointment, even after this "doctor" performed a lumbar laminectomy on me!!!😡 I was miserable and in excruciating pain. Then everything changed.... 🙏THANK GOD I FOUND DR ABRAHAMS! He took all the time he needed with me to come up with a new plan and thoroughly explained the correct surgery I needed. I had a fractured sacrum, lower back S1, right up to L5, needing spinal fusion. I also had cervical herniations. My life changed after Dr Abrahams took care of my surgery, his office still checks up on me to make sure I'm doing well. The office and entire staff is so helpful, friendly and caring. I recommend Dr Abrahams on a regular basis to people I meet that have brain or spine problems. Dr Abrahams is also BRILLIANT. He is the creator of many medical devices that he received patents for. When you go in his office your eyes won't know what to look at first he has so many awards & patents. He's a MUST GO TO doctor! He changed my life, and I am forever grateful to him, Lisa (his personal coordinator), and his entire staff, fellow doctors that are also in group with Dr Abrahams. I HIGHLY RECOMMEND HIM as well as the doctors in practice within his group. You will get the best care by far.😊
    Helena Mattis
    Helena Mattis
    January 12, 2021
    Dr. Abrahams literally saved my life. I went to him back in 2004 in horrible shape after being misdiagnosed by my Primary Care Physician. He went above and beyond in saving my life. I highly recommend him for his skills, ability, his humanity and love he demonstrates for both his patients and his work. Helena Edwards
    Farah Rubeo
    Farah Rubeo
    September 13, 2020
    Dr. Abrahams performed back surgery on me 6 years ago . I was 38 yrs old and in excruciating pain, not able to walk for longer longer than 5 minutes, sleeplessness nights and constantly being put on pain medication , including countless rounds of PT. Surgery was my only option to return to the quality of life I had before my injury and I am beyond grateful for Dr. Abrahams and his team. I have been playing softball, exercising , walking my dog and enjoying everything that I have missed for years! Dr. Abrahams to me Is a lifesaver! The best of the best !