To learn even more about radicular-associated pain, search here in the Knowledge Center of Dr. Anthony Leone.
Radicular pain is pain radiating directly along a spinal nerve. This radiating pain is caused by compression (sometimes inflammation as the result of a injury to the nerves). Typically, radicular pain can be treated by non-invasive treatments including physical therapy and medication. However, if these treatment options do not work, then decompressive surgery is an option to alleviate the trouble areas. Two surgeries that employ decompressive treatments are laminectomies and discectomies.
When an area of spinal disc material is responsible for disc herniations; surgical intervention is advised. Without surgery, this material presses on nerve roots and/or the spinal cord causing pain. In a discectomy, a portion of the disc (nucleus pulposus) is removed – eliminating pain in the nerves or spinal cord.
Learn more about surgical intervention here in the Knowledge Center of Dr. Leone.
Open discectomy is the standard surgical intervention in patients with LDH whose conservative treatment has failed. Despite over 60 years of experience, the indications for surgery and the expected success rates still are reported variably. Surgical excision of the displaced disc tissue removes both the source of pressure and the initiator of the inflammatory response.¹
¹Garfin MD, Steven. Orthopaedic Knowledge Update : Spine. Rosemont: American Academy of Orthopaedic Surgeons, 1997.