Expert Spine Care by Dr. Rajesh Bindal
A herniated lumbar disc—commonly referred to as a “slipped” or “ruptured” disc—is a condition where the inner core of the spinal disc (nucleus pulposus) pushes through the outer layer (annulus fibrosis), potentially compressing nearby spinal nerves. This can lead to back pain, leg pain, numbness, or weakness, often referred to as sciatica.
At Texas Spine & Neurosurgery in Sugar Land, TX, Dr. Rajesh Bindal, a board-certified neurosurgeon, offers minimally invasive microlumbar discectomy for patients suffering from lumbar disc herniations that do not respond to conservative treatment.
Diagnosing a Herniated Lumbar Disc
Symptoms often include:
- Sharp or radiating leg pain (sciatica)
- Lower back pain
- Numbness or tingling in the leg or foot
- Muscle weakness in the lower extremity
An MRI scan is required to confirm the diagnosis and determine the location and severity of the disc herniation.
Minimally Invasive Lumbar Discectomy Surgery
Microlumbar discectomy is a minimally invasive surgical procedure that removes the portion of the herniated disc pressing on spinal nerves, thereby relieving pain and restoring mobility. Dr. Bindal uses a muscle-sparing approach that promotes faster recovery and less post-operative discomfort.
Surgical Technique:
- The patient is positioned face-down on the operating table.
- A small incision is made on one side of the lower back.
- Intraoperative X-ray (fluoroscopy) is used to confirm the surgical level.
- Sequential tubular dilators are used to gently separate (not cut) back muscles.
- A surgical microscope provides enhanced visualization.
- Bone spurs and a portion of the lamina may be removed to access the disc (laminectomy).
- The affected nerve root is gently retracted, and herniated disc fragments are removed.
- The wound is closed with resorbable sutures that dissolve naturally and don’t require removal.
This technique limits trauma to surrounding tissues, which often leads to less pain and quicker recovery compared to traditional open spine surgery.
Recovery After Microlumbar Discectomy
Patients typically experience rapid relief from symptoms such as leg pain and nerve irritation. Most patients can:
- Walk within hours of surgery
- Be discharged the same day (outpatient basis)
- Resume sedentary work within two weeks
- Reduce or eliminate the need for pain medication by the two-week post-op visit
Patients are advised to limit strenuous activity for the first 2–3 days after surgery to prevent muscle spasms and allow the spine to heal properly.
Is Minimally Invasive Discectomy Right for You?
Not every patient is a candidate for a minimally invasive approach. Dr. Bindal will conduct a detailed evaluation of your symptoms, physical exam, and imaging studies to determine:
- Whether surgery is necessary
- If microlumbar discectomy is appropriate
- Alternative or non-surgical treatments that may be effective
A herniated lumbar disc may be referred to as a “ruptured” or “slipped” disc in layman’s terms. However, these layman’s terms, strictly speaking, are not accurate terminology. A herniated disc occurs when the inner core (nucleus pulposus) of the intervertebral disc bulges out through the tough outer layer of ligaments that surround the disc (annulus fibrosis). Back pain or leg pain can arise from this tear in the annulus fibrosis. If the protruding disc presses on a nerve, pain, numbness, or weakness may occur in the leg. This is often referred to as sciatica. MRI is required to make the diagnosis of herniated lumbar disc. If back surgery is required, minimally invasive microlumbar discectomy may be a good option.
Minimally Invasive Lumbar Discectomy Surgery
During a minimally invasive microlumbar discectomy surgery patients are positioned face-down on the OR table. The location of the incision is often confirmed by an intraoperative X-ray, using fluoroscopy. A skin incision about 1 inch in length is made to the side of the herniated disc. Like other minimally invasive lumbar spine surgery, this technique involves the use of tubular retractors. Sequential dilators are applied to the back. The muscles of the back are split to the spinal lamina, the back part of the spine. Splitting the muscles often results in less back pain and a faster recovery than stripping the muscles off the spine as is often required in open back surgery.
Microscopic Lumbar Discectomy SurgeryYour Attractive Heading
Using a microscope, overlying soft tissue is removed and the bone exposed. Microscopic lumbar discectomy surgery involves the use of a microscope to improve surgical lighting and vision, making the herniated lumbar disc surgery more precise and accurate. Specially designed surgical instruments are then used during microscopic discectomy to remove bone spurs and the lamina on the side of the approach. This is referred to as a laminectomy. The disc is then exposed by gently retracting the nerves. The fragments of a herniated disc are then dissected free and carefully removed. After bleeding is stopped, the wound is closed with resorbable sutures. These sutures usually dissolve on their own in the body and do not need to be removed after microscopic lumbar discectomy surgery.
Lumbar Discectomy Recovery for Herniated Discs
Patients undergoing minimally invasive microlumbar discectomy surgery to treat herniated lumbar discs may often be able to go home the same day they have surgery, as the procedure is often done on an outpatient basis. Patients typically begin walking immediately after surgery. Patients should not engage in too much physical activity for the first 2-3 days after back surgery to prevent muscle spasms. Many people take little to no pain medication by their two-week post-op visit. Patients often return to sedentary work within two weeks after the operation.
Minimally Invasive Herniated Disc Surgery Consultation
Not all patients and not all conditions pertaining to lumber microdiscectomy can be treated via a minimally invasive approach. Dr. Bindal, surgeon in Houston, will discuss your condition with you at the time of your consultation and inform you if surgery is appropriate at all. If surgery is appropriate, the doctor will discuss whether a minimally invasive microdiscectomy may be an option. If you’re suffering from a herniated lumbar disc then schedule a consultation today to meet with one of our neurosurgeons – (281) 313-0031.
Schedule Your Consultation in Sugar Land, TX
If you’re suffering from a herniated lumbar disc and conservative treatments have not provided relief, it may be time to consider surgical options. Dr. Rajesh Bindal at Texas Spine & Neurosurgery is committed to helping patients return to a pain-free, active lifestyle using the most advanced, least invasive techniques available.
Call 281-313-0031 today to schedule your consultation in Sugar Land, TX, and learn if minimally invasive lumbar discectomy is right for you.