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Lumbar Discectomy
Neurology & Spinal Cord

Lumbar Discectomy

Lumbar discectomy is a type of surgery to fix a disc in the lower back caused by a disk hernia. The pain can be irritating or maybe compressing nearby nerves.

Overview

When a disk hernia occurs, the pain can be irritating or may be compressing nearby nerves. A discectomy procedure is performed to remove the damaged portion of a herniated disk in your spine. Which have been the most effective, for treating pain that radiates down your arms or legs. Those who suffer from back pain or neck pain will find relief with more conservative treatments, such as physical therapy. Discectomy is only suggested when non-surgical treatments haven’t worked or if your symptoms worsen. Most surgeons prefer to perform minimally invasive discectomy, which uses small incisions and a tiny video camera for viewing the procedure.

Lumbar Discectomy cost in Iran

The cost of a lumbar discectomy in Iran can vary, but it is generally more affordable compared to many other countries. The exact cost can depend on various factors, including the specific hospital and surgeon, the complexity of the patient's condition, and whether any additional procedures are required.

On average, the cost of a lumbar discectomy in Iran is around $2500. This is significantly less than the cost of the same procedure in many Western countries. For instance, in the United States, the average cost of a herniated disc surgery can range from $15,000 to $35,000 or more. This makes Iran an attractive destination for medical tourism, particularly for patients seeking high-quality, affordable spinal surgery.

It's important to note that the quoted cost usually includes the surgeon's fee, hospital charges, and anesthesia fees. However, it may not include other potential costs such as pre-operative tests, post-operative medications, physical therapy, and any necessary follow-up visits.

A lumbar discectomy in Iran offers a cost-effective solution for patients suffering from a herniated disc. With top-rated orthopedic surgeons and neurosurgeons, modern medical facilities, and affordable prices, Iran has become a popular destination for patients seeking lumbar discectomy. However, patients should always discuss the potential costs with their healthcare provider to ensure they fully understand the financial implications before deciding to undergo the procedure.

About Lumbar Discectomy

A discectomy is performed to relieve the pressure a herniated disk (also called a slipped, ruptured, or bulging disk or disk prolapse) places on a spinal nerve. In situations when the softer material inside the disk is pushed out through a crack in the tougher exterior, a herniated disk has occurred. If you have a herniated disc in your lower back, causing symptoms such as weakness, pain, or tingling in the back area and one of your legs, you may need a lumbar discectomy. But you should keep in mind, that not everyone with a herniated disc needs this surgery, and the lumbar discectomy can’t be used to treat all cases of back pain. In case physical therapy and anti-inflammatory medicines, have not worked and you still have severe symptoms, your doctor may suggest surgery. Discectomy may be an option for you if:

  • You have trouble standing or walking because of nerve weakness

  • Conservative treatment, such as physical therapy or steroid injections, fails to improve your symptoms after six to 12 weeks

  • Pain radiating into your buttocks, legs, arms or chest becomes too much to manage 

What is a lumbar discectomy? 

What is a lumbar discectomy? 

A lumbar discectomy is a surgical procedure that primarily aims to alleviate the pressure exerted by a herniated or slipped disc on the nerves within the spinal column. This pressure can cause significant discomfort and pain, often radiating over the hip and down the leg, a condition known as sciatic pain. The procedure is often performed with minimal invasion and is sometimes referred to as a microdiscectomy.

The lumbar discectomy procedure begins with the patient being placed under general anesthesia. The surgeon then makes an incision in the lower back, near the affected area. The muscles are moved to expose the bones, and a small piece of the bony cover of the spinal cord is removed to provide access to the herniated disc. The surgeon then removes only the herniated portion of the disc, which effectively relieves the pressure on the nearby nerves.

The procedure is typically carried out by a neurosurgeon or an orthopedic surgeon with experience in spinal surgery. The operation takes at least an hour, but the duration may vary depending on its complexity. The exact level of decompression required is determined using an X-ray. Once the decompression has been achieved, the muscles are stitched back together, and the incision is closed.

Recovery from a lumbar discectomy can take several weeks. During this time, the patient may experience some discomfort and will likely need to limit their physical activity. However, the procedure generally results in significant relief from the pain caused by the herniated disc.

It's important to note that a lumbar discectomy is typically recommended only when other less invasive treatments, such as anti-inflammatory medication, physiotherapy, or epidural injections, have not provided sufficient relief. Prior to the surgery, patients undergo a pre-operative assessment, which may include blood tests, a general health check, and an X-ray or magnetic resonance imaging (MRI) scan of the spine. This assessment provides an opportunity for patients to discuss any concerns they may have and ask questions about the operation.

Why might I need a lumbar discectomy? 

A lumbar discectomy might be necessary if you are experiencing symptoms due to a herniated disc in your lower back. The spinal column is made up of a chain of bones called vertebrae, with discs sitting between each vertebra to provide cushioning and support. Sometimes, due to age or injury, the outer wall of one of these discs may weaken, causing the soft, inner part of the disc to bulge out. This is referred to as a herniated or bulging disc.

The bulging disc can press on the nerve roots that lead from the spinal cord, sending and receiving signals to and from your brain. This pressure can cause symptoms such as lasting weakness, pain, or tingling in the back area and in one of your legs. These symptoms can significantly impact your quality of life, making everyday tasks difficult and uncomfortable.

Lumbar discectomy is typically recommended when other less invasive treatments have not provided sufficient relief. These treatments might include physical therapy, epidural spinal injections (ESIs), and anti-inflammatory medicines. If these treatments fail to alleviate the symptoms, a lumbar discectomy can be considered as a more definitive solution.

During a lumbar discectomy, an orthopedic surgeon or neurosurgeon removes part of the damaged disc, which helps ease the pressure on the nerve root or spinal cord. This can result in significant relief from the symptoms caused by the herniated disc.

What are the risks of a discectomy procedure? 

Discectomy is mainly a safe procedure, but like any surgery, there may be complications such as: 

  • Bleeding

  • Infection

  • Leaking spinal fluid

  • Injury to blood vessels or nerves in and around the spine

Lumbar Discectomy Recovery

 The overall lumbar discectomy recovery time is approximately 4 to 6 weeks, but you may be feeling back to normal well before that time.

Lumbar discectomy in Iran

Equipped hospitals and advanced specialized centers with experienced doctors and specialists are available in all medical treatment areas in Iran. Also, good hotels and entertainment centers have made Iran an appropriate choice for patients who suffer from a herniated disc in the spine.

Lumbar Discectomy Procedure

What are the risks of a lumbar discectomy? 

A lumbar discectomy, like any surgical procedure, carries certain risks and potential complications. It's important to be aware of these risks and discuss them with your healthcare provider before deciding to undergo the procedure.

  • One of the primary risks associated with a lumbar discectomy is infection. Despite the sterile environment in which the surgery is performed, there is always a chance that bacteria could enter the surgical site, leading to an infection.

  • Another risk is excessive bleeding. While surgeons take precautions to minimize blood loss during the procedure, there is still a possibility that a significant amount of blood could be lost.

  • The formation of blood clots is another potential complication. These can form in the legs due to prolonged immobility during and after the surgery. If a clot breaks loose, it can travel to the lungs, causing a potentially life-threatening condition known as a pulmonary embolism.

  • Injury to nearby nerves is also a risk. Despite the precision with which the surgery is performed, there is a chance that nerves in the vicinity of the surgical site could be damaged, potentially leading to weakness, numbness, or pain.

  • Patients may also have an adverse reaction to the anesthetic agents used during the procedure. While anesthesiologists carefully monitor patients' reactions to anesthesia, allergic reactions or other adverse effects can still occur.

  • Finally, there is a risk that the surgery may provide only short-term relief, necessitating further treatment or even additional surgery. This could be due to the disc re-herniating, or other discs becoming herniated.

It's important to note that these risks can vary depending on factors such as your age, overall health, and the specific details of your condition. Therefore, it's crucial to have a thorough discussion with your healthcare provider about these risks and how they apply to you before deciding to undergo a lumbar discectomy.

How do I get ready for a lumbar discectomy in Iran? 

Preparing for a lumbar discectomy in Iran involves several steps to ensure the best possible outcome. 

  • Firstly, it's advisable to stop smoking (if you smoke), eat well, and take regular exercise as soon as you know you're going to have lumbar decompression surgery. This helps you recover from your operation and reduces your risk of complications.

  • You'll be asked to attend a pre-operative assessment appointment a few days or weeks before your operation. During this appointment, you may have some blood tests and a general health check to make sure you're fit for surgery, as well as an X-ray or magnetic resonance imaging (MRI) scan of your spine. This assessment provides an opportunity for you to discuss any concerns you may have or ask questions about your operation.

  • Your healthcare provider will give you specific instructions on how to prepare for your procedure. You may need to stop taking certain medications ahead of time, such as blood thinners. You'll usually be asked not to eat or drink for about 6 hours before the operation.

  • On the day of your operation, you'll be admitted to the hospital. Your surgeon and anesthetist will explain what will happen during the operation, giving you the opportunity to ask any questions you may have. Before the operation, you'll be asked to sign a consent form to confirm that you understand what's involved and the potential risks.

  • After the operation, it's important to follow the recommended recovery guidelines. This includes using the log roll technique to avoid any twisting movement of your back when getting in and out of bed. You should also maintain good posture when sitting to reduce stress on your back. Avoid sitting for long periods of time and make sure to stand up and move around regularly.

In conclusion, preparing for a lumbar discectomy in Iran involves a combination of physical preparation, medical assessments, and understanding the procedure and recovery process. 

What happens during a lumbar discectomy in Iran? 

A lumbar discectomy in Iran involves the removal of a herniated disc from the lower spine to alleviate pressure on the spinal cord or nerves. The procedure is performed by highly skilled surgeons and is often sought after by medical tourists due to its effectiveness and affordability.

In Iran, a lumbar discectomy is performed by top-rated orthopedic surgeons and neurosurgeons, offering effective treatments at decent prices. The procedure is similar to those performed globally, with some unique aspects related to the healthcare system in Iran.

During a lumbar discectomy in Iran, the patient is typically placed under general anesthesia. The surgeon makes an incision in the back and removes a portion of the lamina to access the spinal canal. The surgeon then removes the portion of the disc that is causing the compression of the spinal cord or nerves.

If the damaged disc is located in the lower or lumbar spine, the surgery is called lumbar discectomy or lumbar spine surgery. In this procedure, the surgeon accesses the ruptured disc by making an incision on the back of your spine. The bulging part is then cut and taken out. The surgery can also treat spinal stenosis.

Iran's orthopedic advances, along with the incredible prices it offers to foreign patients, have given the country comparative advantages over other destinations. Herniated disc surgery is one of the procedures medical tourists seek in Iran. 

What happens after a lumbar discectomy in Iran?

After a lumbar discectomy in Iran, you are moved to a recovery room where the healthcare team monitors for complications from the surgery and anesthesia. You may be healthy enough to go home the same day you have surgery, although a short hospital stay may be necessary, particularly if you have any serious pre-existing medical conditions.

During the recovery period, patients are encouraged to walk and start physical therapy with low-rate activities and exercises. Pain can be controlled with painkillers and individual prescriptions. You may also experience discomfort while sitting.

The traditional approach to recovering from lumbar microdiscectomy has been to limit bending, lifting, or twisting for a minimum of 6 weeks to prevent the disc from herniating again. Depending on the amount of lifting, walking, and sitting your job involves, you may be able to return to work in two to six weeks. If your job includes heavy lifting or operating heavy machinery, your doctor may advise you to wait six to eight weeks before returning to work.

Diskectomy reduces herniated disk symptoms in most people who have clear signs of nerve compression, such as radiating pain. However, diskectomy may not be a permanent cure, because it doesn’t do anything to reverse the process that allowed the disk to become herniated in the first place. To avoid re-injuring your spine, your doctor may recommend weight loss, prescribe a low-impact exercise program, and ask that you limit some activities that involve extensive or repetitive bending, twisting, or lifting.

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FAQs

The cost for lumbar discectomy surgery may vary based on the patient's specific surgical needs, surgeons' fees, and anesthesia and surgery center or hospital fees.

Discectomy is a common but major surgery with significant risks and potential complications.

Normally it will take you 4-6 weeks to fully recover from a lumbar discectomy, although you make feel back to normal well before that time.

Pain and fatigue are typically severe during the first few days after a lumbar micro-discectomy. So it’s very important to have someone there to help you around the house during the initial days at home.

Lumbar discectomy is a surgery performed to fix a disc in the lower back. During which smaller cuts are made than an open lumbar discectomy.

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