Microdiscectomy
Microdiscectomy is a minimally invasive surgical procedure that removes herniated disc fragments to decompress pinched nerves and relieve sciatica. Using microscopic visualization through a small incision, this time-tested approach provides excellent outcomes with quick return to work.
Why Greenberg Spine
Dr. Marc Greenberg's fellowship training at Mayo Clinic, Johns Hopkins, and Brown University, combined with our focus on robotics, endoscopy, and motion-preserving philosophy, ensures you receive the most advanced outpatient spine care available.
Indications
- Herniated disc with severe leg pain (sciatica)
- Numbness or weakness in leg or foot
- Failed conservative treatment for 6+ weeks
- Progressive neurological symptoms
- Cauda equina syndrome (emergency)
How the Procedure Works
- Small incision (1-2 inches) over affected disc level
- Microscopic visualization for precision and safety
- Careful removal of herniated disc fragments
- Nerve decompression and mobility verification
- Preservation of healthy disc and bone structures
Benefits
- Excellent success rate (90-95%) for leg pain relief
- Small incision with minimal tissue damage
- Quick return to work (1-2 weeks for desk jobs)
- Outpatient surgery in most cases
- Preserves spinal motion and stability
Risks & Considerations
- Infection, bleeding, or anesthesia risks
- Nerve injury or dural tear
- Recurrent disc herniation (5-10%)
- Incomplete pain relief
- Scar tissue formation
Recovery Timeline
Day 0 (Surgery Day)
Outpatient procedure, home same day or overnight stay
Week 1-2
Walking encouraged, no lifting >10 lbs, return to desk work
Week 4-6
Physical therapy begins, gradual activity increase
6-8 Weeks
Return to physical work, full activities, sports clearance
Ideal Candidates
- Confirmed disc herniation on MRI
- Predominant leg pain over back pain
- Good general health for surgery
- Realistic expectations about outcomes
- Failed adequate conservative treatment
Alternatives
- Physical therapy and anti-inflammatory medications
- Epidural steroid injections
- Endoscopic discectomy
- Continued conservative management
Conservative Options
Before considering microdiscectomy, Dr. Greenberg typically recommends a comprehensive conservative approach including physical therapy, anti-inflammatory medications, activity modification, and epidural steroid injections. Surgery is only recommended when conservative treatments have been exhausted and symptoms significantly impact quality of life or neurological function.
What to Expect
- Pre-op visit: MRI review, surgical planning, and consent
- Anesthesia: General anesthesia with positioning
- Incision size: 1-2 inch incision over affected level
- Discharge plan: Same-day or overnight stay
- First follow-up: 1-2 weeks post-surgery
Frequently Asked Questions
How successful is microdiscectomy?
Microdiscectomy has a 90-95% success rate for relieving leg pain from herniated discs.
When can I return to work?
Most patients return to desk work within 1-2 weeks and physical jobs within 6-8 weeks.
Will the disc herniate again?
Recurrence rates are low (5-10%), but maintaining good spine health reduces this risk further.
Is this the same as open surgery?
No, microdiscectomy uses a much smaller incision and microscopic visualization for precision.
How long does the surgery take?
The procedure typically takes 30-60 minutes depending on the complexity of the case.
Ready to End Your Sciatica?
Schedule a consultation to determine if microdiscectomy is right for you.
Related Information
Disclaimer: Information is educational, not medical advice. Outcomes vary. Individual results depend on many factors including age, health status, and adherence to post-operative instructions.