Herniated disc surgery can provide relief from the pain and discomfort of a damaged spinal disc, but it’s essential to know what to expect during the recovery process and how to prepare for it.
Here, we will focus on the most common types of herniated disc surgeries and explore the recovery timeline, expectations, and necessary preparations for a smooth and successful post-operative journey.
When Is Herniated Disc Surgery Necessary?
A herniated disc, commonly referred to as a slipped or ruptured disc, occurs when the soft, jelly-like center of a spinal disc pushes out through a tear in the tougher exterior casing. This can cause irritation to nearby nerves and result in pain, numbness, tingling, or weakness in the neck, shoulder, arm, or leg. The condition may also cause headaches. Not everyone who has a herniated disc will experience symptoms, but for those who do, the effect can be incredibly debilitating and may require surgical intervention.
Herniated disc surgery may become necessary when conservative treatment options such as physical therapy, medication, or injections have been ineffective in alleviating the symptoms. It is also considered if a patient experiences severe pain, numbness, or weakness that hampers normal activities or when it’s causing trouble with bladder or bowel control or deteriorating neurological symptoms. It’s essential to have an open conversation with your healthcare provider to thoroughly understand the need for surgery in your specific case.
There are several surgical procedures available to treat a herniated disc, but the most common procedures include a microdiscectomy or Anterior Cervical Discectomy and Fusion (ACDF) procedure.
Microdiscectomy Surgery
Microdiscectomy is a minimally invasive surgical procedure to remove part of a herniated disc that’s pressing on a nerve root or the spinal cord. This microscopic surgical technique results in a quicker and less painful recovery, because it allows for just the problematic part of the disc to be removed with minimal disturbance to bone and surrounding healthy tissue. It is typically performed when conservative treatments have failed to relieve pain and discomfort caused by the herniated disc.
Recovery Timeline and Expectations
- Immediate Post-Operation (1-3 days): Surgery is an outpatient procedure, meaning patients can usually return home the same day as the surgery. Pain and discomfort will be present in the operated area, and a prescribed pain management plan, including medications, will be provided by your surgeon. You will also be given instructions about how you can use your back. Some movements, such as lifting or bending, will need to be restricted, and you may have to wear a back brace for a limited time after the procedure. It is essential to follow post-operative instructions for wound care, activity restrictions, and pain management.
- Two Weeks Post-Operation: In most cases, patients experience significant pain relief within two weeks. You may feel well enough to return to work (depending on the type of job you do). However, your return to daily activity will still be restricted. A course of physical therapy is often recommended to help strengthen muscles and protect the spine. Walking is also encouraged to facilitate blood flow and help speed up the healing process.
- Six Weeks Post-Operation: The majority of patients can resume normal physical activities, with some limitations advised by your surgeon. It’s important to avoid strenuous activities or heavy lifting during this time.
- Three Months Post-Operation: Full recovery can take up to three months, with restrictions on lifting and physical activities gradually being lifted. It’s vital to continue following your surgeon’s recommendations, as returning to high-impact activities too soon can cause complications.
Anterior Cervical Discectomy and Fusion (ACDF)
Anterior cervical discectomy and fusion is a common surgical procedure that removes a damaged disc from the cervical spine (neck region) and fuses together the adjacent vertebrae for stability. ACDF is recommended when conservative treatments have been ineffective in alleviating neck pain, arm pain, or neurologic symptoms due to a herniated disc or spinal cord compression. Surgery may also be necessary when a herniated disc is pressing directly on a nerve or the spinal cord, causing loss of function.
Recovery Timeline and Expectations
- Immediate Post-Operation (1-2 days): Most patients will spend one or two days in the hospital following the surgery. Pain control, monitoring for any complications, and beginning neck mobilization exercises will be the focus during this time. Activity level and body positioning will be restricted initially, and a neck brace will need to be worn to support the neck. Lifting, housework, and any strenuous activity will need to be avoided.
- Two Weeks Post-Operation: You may begin to gradually increase daily activities, but always follow the specific activity restrictions provided by your surgeon. Physical therapy may be started to improve neck mobility and strength, correct posture, and improve body mechanics.
- Six Weeks Post-Operation: By this time, the majority of patients can return to regular activities with certain restrictions on lifting and physical activities.
- Three Months Post-Operation: Although recovery is different for everyone, depending on the type of surgery and the extent of the condition, full recovery can take up to three months, and it’s important to continue following the instructions provided by your surgeon. Physical therapy may continue for a few more weeks to improve strength and range of motion in the neck.
Preparing for Microdiscectomy and ACDF Recovery
- Plan Ahead: Make necessary arrangements for time off work and assistance around the house as needed. Stock your home with easy-to-prepare meals and medications prescribed by your doctor. Create a comfortable space in your home for resting and recovering. You will be unable to drive until you are pain-free, so make alternative arrangements for travel during your recovery.
- Follow Recommendations: Your surgeon may make recommendations, such as wearing a neck brace or collar to support your neck during the healing process. Be prepared to wear it for the designated amount of time and follow any instructions on when to remove it.
- Keep Active: Physical Therapy will be a crucial part of your healing process and will help to speed up your recovery. Be prepared to start a physical therapy regimen as advised by your surgeon and physical therapist. To avoid stiffness and pain during your recovery, you should try not to sit or stand in the same position for more than 15-20 minutes at a time. You will also need to avoid activities, such as heavy lifting, awkward twisting, and bending during everyday tasks until you’re pain-free.
- Always Attend Your Appointments: In addition to physical therapy sessions, you will require one or more follow-up appointments with your surgeon in the weeks after your surgery to monitor your progress. Be sure to contact your healthcare team if you have any questions or concerns about your specific surgery and recovery process.
Recovering from herniated disc surgery may take some time, but with proper preparation and following post-operative instructions, it can be a smooth and successful journey. Always consult with your surgeon for personalized advice and follow-up care, and remember to take it easy, listen to your body, and give yourself the time needed to fully recover. There are other types of herniated disc surgeries available, and the recovery timeline and expectations may vary depending on the procedure.
Herniated Disc Surgery in Rochester Hills, Bad Axe, and Royal Oak, Michigan
If you are experiencing symptoms of a herniated disc, don’t delay; get the expert care you deserve at Ahlgren Spine. Dr. Ahlgren and his team provide diagnoses and treatment for a wide range of orthopedic spinal injuries and conditions, including herniated discs.
We utilize state-of-the-art technology and the most advanced surgical and noninvasive techniques to relieve pain, restore mobility, and get patients back to leading a normal, active lifestyle as quickly as possible.
To learn more about our services or schedule a consultation with Dr. Ahlgren, call us today at (248) 215-8080 or use our online request form to arrange your visit. We welcome your call!
