The 1-year rate of reoperation for recurrent stenosis in SPORT was just 1.3%, versus reoperation rates of around 10% in studies of diskectomy for low back pain from a herniated disk
. That high reoperation rate is the major shortcoming of diskectomy.
If your sciatica is due to a herniated disk
, and it's still causing severe pain after four to six weeks, surgery may be an option.
A herniated disk
occurs when some of the soft inner cartilage of the disk protrudes outward through a crack or tear in the tougher outer layer.
A herniated disk
can sometimes be very painful and most people feel better with just a few months of nonsurgical treatment, which can consist of physical therapy, medications or epidural steroids.
The cohort of 100 patients had known risk factors for degenerative lumbar disk disease and a history of mild, persistent, but nondisabling, low back pain lasting more than 2 years after herniated disk
"I recently saw a nine-year-old soccer player with a herniated disk
. I'm seeing stress fractures in 10and 11-year-olds, which are almost unheard of.
If you don't get better, your doctor may need to find out whether your problem comes from a herniated disk
, an inflamed piriformis muscle, or other causes.
Sciatica, which usually results when a herniated disk
or bone spur compresses on part of a nerve in the spine, can cause pain to run from the back, through the hips and down one or both legs.
The veteran knuckleballer said he has no plans to retire after Wednesday's operation for a herniated disk
that derailed his first All-Star season.
"Having a herniated disk
can affect how you perform everyday activities and can cause severe pain that influences almost everything you do; however, you don't have to undergo invasive surgery," said Dr Kieran J.
Studies indicate a positive straight leg raise that elicits excruciating sciaticalike pain has 80% sensitivity and 40% specificity for a herniated disk
. The test tends to irritate the L5 and $1 nerve roots.
But TESI are proven effective for managing radicular pain due to spinal stenosis or herniated disk
, making the treatment an attractive option for patients who are either unwilling to undergo decompressive spinal surgery or have medical contraindications for surgery, Rajeev K.