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Surgery options for herniated disc problem. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
User :   hi
Doctor :   How can i hejp yu
User :   how much is the fees for this session?
Doctor :   right now it is free
Doctor :   from sep 1st
Doctor :   we may introduce the payment
Doctor :   We are doing it free for the last 8 months
User :   k. thanks for the info.
Doctor :   Can I ask a feedback
User :   i need some advice on treatment for a herniated disc.
Doctor :   from you
Doctor :   Ok
Doctor :   put your question
User :   its a simple question really. what do i do next?
User :   i mean in the form of treatment.
User :   l4-l5
Doctor :   ok
Doctor :   how long u have this
Doctor :   any treatment u had yet
User :   2 months
User :   went to a doc who gave me some meds, pain killers and muscle relaxants like doloback.
User :   but pain still persists.
Doctor :   ok
Doctor :   do u have any numbness or weakness?
User :   right toe is umb
Doctor :   90% of the herniated discs will resolve with complete bed rest for a time of 4 to 6 weeks
User :   edit: numb
Doctor :   ok
Doctor :   complete bedrest means lying flaton the bed
Doctor :   with bed pan and urine can
User :   my doc said the same thing. lying completely flat for the last 8 or 9 weeks, since the start. but there is still pain.
Doctor :   ok
Doctor :   then u need to follow up with him again
User :   is there a permanent cure?
Doctor :   yes
Doctor :   surgery is one option
Doctor :   but there can be relaspe
Doctor :   problem can reoccur even with surgery
User :   u mean keyhole surgery, where they cut off the extended portion?
User :   thats bad.
User :   any other option?
Doctor :   in more severe cases where conservative treatment fails, further treatment may be necessary, such as injections with cortisone
User :   can u like take out the disc?
Doctor :   Surgery is only a real necessity when a progressive loss of neurological function is experienced, leading, for instance, to bladder or bowel incontinence or limb paralysis. In cases of frequently recurrent acute pain, the person with a herniated disc chooses surgical intervention to decrease pain and improve quality of life.
Doctor :   bout 5% of people who have experienced a herniated disc will eventually have recurring pain, and another 5% will experience a herniated disc at another vertebral site.
User :   ad replace with healthier or prosthetic one?
Doctor :   yes
User :   that is great! how much is the cost?
User :   also, what is your opinion on that?
Doctor :   there are various surgery avaiable
Doctor :   discectomy
Doctor :   surgical treatment of a herniated disc is to remove the fragment of spinal disc that is causing the pressure on the nerve
Doctor :   10-15 % can have reoccuring
Doctor :   Most patients find relief of much, if not all, of their symptoms from a discectomy
Doctor :   cost depends on the center and orthopedician
Doctor :   who does the procedure
Doctor :   in newer technique
Doctor :   they use the key hole
Doctor :   endoscopic microdiscectomy
User :   no, i dont want cost for cutting the disc fragment. that is just a temporary cure. its like taking saridon for headache. pain goes away but it comes back if the underlying cause of the pain remains
Doctor :   ok
User :   i have expressed my disinterest in keyhole earlier in this chat.
Doctor :   ok
Doctor :   so what would u like to know about now
User :   about the disc replacement thingy.
User :   i would like your opinion on the cost and the risks involved in that option.
Doctor :   ok
User :   or maybe there are better options than disc replacement?
User :   i'm pretty much a layman here, please guide me.
Doctor :   sure
User :   but please dont suggest short term options where there is a chance of recurrence at the same site(like discectomy or whatever)
Doctor :   lumbar disc replacement surgery is the best option for people who suffer from degeneration in the lower back
User :   cost?
User :   risks?
Doctor :   cost varies
Doctor :   risk are same for any spinal operations
Doctor :   any doubts
User :   ok.
User :   can you give me a ball park estimates on the cost?
Doctor :   i didnt get you
Doctor :   disc are made of medical grade cobalt chromium alloy.
User :   ball park = approximate
Doctor :   disc are made of medical grade plastic and the end plates are made from medical grade cobalt chromium alloy
User :   approximate estimate for the cost.
User :   so I can prepare my financials accordingly.
Doctor :   ok
User :   financials = arranging funds, prepping insurance papers etc
Doctor :   we are not aware of the exact pricing
Doctor :   but we can fix up ur appointment with best orthopedician
User :   an estimate would be great.
Doctor :   where are u located?
User :   like am i looking at 1 lac, 2 lac, 5 lacs,etc
Doctor :   an orthopedician will the best person to give u the estimate
User :   can u suggest me one?
Doctor :   it should be lesser than 1 lakh
Doctor :   confirm ur details
User :   i can go anywhere in the world to sort this out.
User :   email is correct.
Doctor :   very few centres does this surgery
Doctor :   ok
Doctor :   if u wish we can fix up appointment
Doctor :   how old are u
User :   ca u tell me more about the ortho guy i will be meeting?
Doctor :   One of our doctors will get back to you soon with all the relevant details.
User :   24
Doctor :   when would u like to have appointment
Doctor :   which day
Doctor :   r u there
Doctor :   anything else would u like to know about
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM everyday.
User :   hi, are you the same person i was chatting with earlier?
Doctor :   Hi
Doctor :   Hi.
Doctor :   hI
Doctor :   HI
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