A Herniated Disc (also called slipped or ruptured disc, or disc prolapse) refers to a condition where the fragile center of a spinal disc makes its way through a crack in the tougher exterior casing. It mostly occurs in the neck and lower back, though it can occur anywhere along the spine. It can often cause pain in the neck, lower back, arms and legs. In addition to pain patients may experience pins and needles or numbness. Rarely bowel or bladder function may be affected. A discectomy is the most recommended surgical technique for a Herniated Disc in Dubai if non-operative treatments fail.
EMG studies are often performed along with nerve conduction to determine if the nerve is functioning properly;
Electromyography (EMG): EMG involves the insertion of a needle electrode through your skin into various muscles. It measures the electrical impulses of the muscles at rest and during contractions.
Nerve conduction test: This measures the electrical nerve impulses and functioning in the muscles and nerves with the help of electrodes placed on your skin.
Non-surgical treatment often includes:
Medications: NSAIDs or Nonsteroidal anti-inflammatory drugs such as ibuprofen or diclofenac are often prescribed to control the pain.
Physical therapy: Physical therapy is often used to educate patients on good body mechanics, which helps to avoid excessive wear and tear on the discs. Specific exercises help strengthen your lower back and abdominal muscles.
Epidural steroid injection: A cortisone-like drug is injected into the space around the nerve, bringing short-term pain relief by reducing inflammation. This may be all that is required, removing the pain while the body resorbs the disc prolapse.
Surgical treatment is often necessary for those patients who experience severe pain and a high loss of function and for those who do not get relief from conservative treatments. Some of the surgical treatments are:
Laminotomy: Laminotomy or Laminectomy surgery involves a small incision to create an opening in the lamina (vertebral arch) to relieve pressure on your nerve roots.
Discectomy Discectomy or Microdiscectomy is the most common procedure used to treat a single herniated disk. Endoscopic discectomies are also used for some patients with a suitable disc prolapse. This surgery involves a small incision at the level of the disk herniation. Next, the herniated part of the disc is removed along with the additional fragments responsible for putting pressure on the spinal nerve.
Artificial disc surgery Artificial disc surgery involves an incision through the neck or the abdomen followed by replacing the damaged disc with an artificial disc.
Spinal fusion Spinal fusion involves the permanent fusing of two or more vertebrae. The procedure uses implants to help achieve a solid fusion.