Lumbar Disc Herniation Treatment In Dubai

Lumbar Disc Herniation is a condition where the disc, which is normally present between two vertebral bones herniates and bulges into the spinal canal or neural foramen or both compressing on the spinal nerves. As we age, the disc becomes weakened or damaged because of wear and tear mechanisms caused by excessive pressure such as heavy lifting. The Lumbar disc herniation generally occurs in the below-mentioned ways-

Degeneration

The disc becomes weak, thinner, and may shrink (usually occurs with age) but the nucleus does not break through the outer wall of the disc.

Disc prolapses/ herniation

The disc has a bulge that puts pressure on the spinal canal or the nerve.

Extrusion

The nucleus ruptures and comes out through the disc annulus but stays in one piece.

Sequestration

The nucleus ruptures and separates from the main portion of the disc.

Causes Of Lumbar Disc Herniation

Poor posture and body mechanics can contribute to lumbar disc herniation.
Aging and natural wear and tear on spinal discs increase the risk of herniation.
Repetitive heavy lifting or improper lifting techniques can strain the lumbar spine.
Obesity puts extra stress on the spine, potentially causing disc herniation.
Sedentary lifestyle and lack of regular exercise weaken the supporting structures of the spine.
Occupation-related factors, such as jobs requiring prolonged sitting or heavy lifting, may contribute to disc issues.

Symptoms Of Lumbar Disc Herniation

The symptoms of lumbar disc herniation disease are different for different people depending on where the disc has herniated and what nerve root it is pushing into. The most common symptoms of Lumbar Disc Herniation are discussed as follows-

Sharp Back Pain, Sudden, intense pain in the lower back; radiates down the leg (sciatica).
Numbness/Tingling, Occurs in buttocks, thigh, or calf; characterized by a feeling of numbness or tingling.
Leg Weakness, Results in difficulty lifting or controlling the leg; associated with weakness in leg muscles.
In severe cases, loss of bladder or bowel control; necessitates immediate medical attention.
Difficulty walking or maintaining balance due to pain and muscle weakness.
Stiffness and reduced range of motion in the lower back.
Pain that may worsen at night or with prolonged periods of standing.
Sensation of pins and needles or a burning sensation in the affected leg.
Pain relief when lying down or changing positions, as opposed to exacerbation with certain movements.

These are general symptoms of Lumbar Disc Herniation that can be associated with other problems so when you observe any of these symptoms, Consult a lumbar disc herniation surgeon in Dubai for a diagnosis and appropriate management.

Diagnosis Of Lumbar Disc Herniation

Most back pains can be treated medically with painkillers and physiotherapy. There’re some red flags like weakness of legs, bladder disturbances etc., which warrants additional investigations. Though a herniated disc can only be confirmed by the MRI, a good clinical examination is must to determine whether the symptoms are correlating with the imaging findings. Hence a complete evaluation of the medical history is done along with a thorough physical examination. Sometimes additional tests may be required which are

X-ray Lumbosacral spine
MRI (Magnetic resonance imaging) which uses a combination of large magnets, radio frequencies, and a computer to produce detailed images of the Spinal bone, joints, disc and nerves.
Myelogram- which is very rarely used nowadays after the invention of MRI. The patients who cannot undergo MRI because of any implanted cardiac pacemaker or similar devices need myelogram for further evaluation. It involves injection of a radio-opaque dye into the spinal canal to make the structures visible on the X-rays.
CT scan or CAT scan (computed tomography scan)- more detailed than general X-rays. A CT scan shows detailed images of the spinal bones and joints.
Nerve conduction study and Electromyography (EMG)- are required in doubtful cases when the imaging findings do not correlate with the clinical symptoms. It measures muscle response or electrical activity in response to a nerve’s stimulation of the muscle.

For a thorough diagnosis and effective herniated disc treatment in the UAE, consult with our renowned neuro spine surgeon, Dr. Arun Neurosurgeon.

Treatment Of Lumbar Disc Herniation

Conservative therapy is the first line of herniated disc treatment for treating Lumbar disc herniation which may include the following-

Conservative measures include rest, physical therapy, and pain medications to alleviate symptoms.
Epidural steroid injections can provide temporary relief by reducing inflammation around the affected disc.
Specific exercises and stretches aimed at strengthening the core muscles and improving flexibility.
In severe cases, surgical options such as discectomy or microdiscectomy may be considered to remove the herniated portion. You can avail this disc herniation surgery in Dubai from our best neurosurgeon (Dr. Arun Rajeswaran).
Weight control
Use of a lumbosacral back support
Medicine to control pain and relax muscles

If any of the above-mentioned measures doesn’t work then you have to consult with a Neurosurgeon to discuss further options available such as disc herniation treatment in UAE which may include slipped disc surgery to remove the herniated disc. If disc herniated surgery is required your Neurosurgeon will discuss in detail about the spine surgery which can be done in many different ways. After disc herniated surgery, you have to restrict strenuous physical activities for around 2 weeks and physical therapy can be started after 10 days from surgery to strengthen your back muscles. If you have been advised surgery and you are not sure whether to go ahead or not, please feel free to get a second opinion from Dr. Arun Rajeswaran for lumbar disc herniation treatment in UAE.

Lumbar Disc Herniation Treatment In Dubai

Causes Of Lumbar Disc Herniation

Symptoms Of Lumbar Disc Herniation

Diagnosis Of Lumbar Disc Herniation

Treatment Of Lumbar Disc Herniation

Dr. Arun Rajeswaran

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