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Lumbar Spinal Stenosis (Nerve Compression) is a problem that afflicts many people and usually occurs when they reach old age. This usually deteriorates the quality of life of the person, generating intense pain and difficulty walking.

 

Types of lumbar decompression

Lumbar stenosis can be treated through a physiotherapist, non-invasively and painlessly. It allows working directly with the compressed nerves of the spine, specifically the lumbar area. Their function is to relieve pain or impingement of this area through treatment to the discs to recover its size.

There are cases where lumbar comprehension cannot be corrected through non-invasive treatments, so patients must go to the operating room. This surgery is recommended to do only if you have tried all kinds of non-surgical treatments, without having any results.

This surgery aims to calm the pain or numbness caused in the legs due to the pressure of the nerves. In this way, it is responsible for removing a minimum portion of bone that is located on the root of the nerve to give more space to the nerve so that the healing process can be accelerated.

Lumbar decompression surgery usually has two different types of surgical procedures, which are:

 

Microdiscectomy

The objective of this surgery is to eliminate any type of excess or abnormal material that is located in the disc and that puts pressure on the nerves. In this way, with this invasive procedure, the pain generated by lumbar disc pressure is eliminated.

This surgery involves removing a small part of the bone located above the nerve root and the disc material located below it so that the known neuronal impingement, causing discomfort in patients can be eliminated. In this way, more space is given to the nerve root to heal, generating relief.

 

Lumbar laminectomy

Lumbar laminectomy aims to relieve pain generated by lumbar spinal stenosis in the patient. In this way, with surgery, it is possible to give more space to the nerve root, eliminating all pain caused by pressure on the nerves and allowing to correct any problem related to the back.

This procedure is usually a treatment option for elderly patients. It is common, at this age, the appearance of degenerative changes that produce an increase in the size of the facet joints.

 

Symptoms of lumbar Spinal Stenosis (Nerve Compression)

This problem usually causes pain in the area of ​​the legs or spine. In any case, it is necessary to consider if it presents any of the following symptoms, which can be caused by a lumbar compression:

-Constant pain in the lumbar area.
-Frequent pain in the legs, such as the area of ​​the buttocks, genitals, heels or calves.
-Difficulty walking.
-Numbness or tingling sensation in the area of ​​the buttocks or legs.
-Decreased pain when tilting your back or sitting.
-Weakness in the leg area.

 

You might also want to read:

Indirect Decompression Using Lateral Lumbar Interbody Fusion for Restenosis after an Initial Decompression Surgery.

What is Keyhole Surgery?

 

 

Types of lumbar decompression

There are cases where lumbar comprehension cannot be corrected through non-invasive treatments, so patients must go to the operating room. This surgery is recommended to do only if you have tried all kinds of non-surgical treatments, without having any results. Lumbar decompression surgery usually has two different types of surgical procedures, which are microdiscectomy and lumbar laminectomy.

 

What is microdiscectomy?

The objective of this surgery is to eliminate any type of excess or abnormal material that is located in the disc and that puts pressure on the nerves. In this way, with this invasive procedure, the pain generated by lumbar disc pressure is eliminated.

 

What is lumbar laminectomy?

Lumbar laminectomy aims to relieve pain generated by lumbar spinal stenosis in the patient. In this way, with surgery, it is possible to give more space to the nerve root, eliminating all pain caused by pressure on the nerves and allowing to correct any problem related to the back.

 

What are the symptoms of lumbar compression?

This problem usually causes pain in the area of the legs or spine. In any case, it is necessary to consider if it presents any of the following symptoms, which can be caused by a lumbar compression: Constant pain in the lumbar area. frequent pain in the legs, such as the area of the buttocks, genitals, heels or calves; difficulty walking, numbness or tingling sensation in the area of the buttocks or legs, decreased pain when tilting your back or sitting, weakness in the leg area.

 

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This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
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