Lumbar Microdiscectomy Surgery in McKinney, TX

lumbar microdiscectomy mckinney

At the Advanced Spine Center, we understand that living with chronic back pain and lumbar disc herniation can be both physically and emotionally challenging. Our mission is to provide exceptional care and advanced surgical solutions to improve your quality of life. If you’re considering lumbar microdiscectomy surgery, you’ve come to the right place. Our microdiscectomy specialists are here for you.

To schedule an appointment with a dedicated, highly-skilled spine surgery specialist, call our office today at 972-499-5457. You can also schedule an appointment online by clicking the button below.

What Is a Lumbar Microdiscectomy?

A lumbar microdiscectomy is a minimally invasive spine surgery designed to relieve pressure on the spinal nerves by removing a small portion of a herniated or ruptured disc in the lumbar region of the spine. Through minimally invasive techniques, surgeons can minimize the damage to surrounding tissues.

The lumbar spine consists of the lower back, which is particularly susceptible to disc herniations, leading to debilitating pain and neurological symptoms. Lumbar microdiscectomy is a precise surgical intervention aimed at addressing these issues and providing lasting relief to patients.

Discectomy vs. Microdiscectomy

To understand lumbar microdiscectomy, it’s important to differentiate it from a standard discectomy. A discectomy is a broader term that encompasses the removal of entire herniated discs.

In contrast, a microdiscectomy is a more focused and minimally invasive procedure that targets only the damaged or herniated part of the disc. The key advantage of a microdiscectomy is preserving as much healthy disc tissue as possible, reducing the risk of instability and the need for spinal fusion.

Lumbar Microdiscectomy vs. Spinal Fusion

lumbar microdiscectomy vs spinal fusion

Lumbar microdiscectomy is often compared to spinal fusion, another surgical option for managing lumbar disk herniation. Spinal fusion involves the removal of the damaged intervertebral disc and the fusion of adjacent vertebrae to stabilize the spine.

While spinal fusion is appropriate for some conditions, it’s a more extensive procedure that can limit spinal mobility. Lumbar microdiscectomy, on the other hand, is less invasive and focuses on preserving spinal motion, making it a preferred choice for many patients.

Lumbar Microdiscectomy vs. Lumbar Injections

Lumbar microdiscectomy is not the only treatment option for lumbar disc issues. Another common approach is lumbar injections, such as lumbar epidural steroid injections. These injections can provide temporary relief by reducing inflammation and pain around the spinal nerve root.

However, they are typically not a long-term solution and may need to be repeated regularly. Lumbar microdiscectomy, on the other hand, offers a more permanent solution by addressing the root cause of the problem.

Why Is Lumbar Microdiscectomy Recommended?

why is lumbar microdiscectomy recommended

Lumbar microdiscectomy is recommended for patients who experience severe pain, weakness, numbness, or tingling in their lower back, buttocks, or legs due to a herniated or ruptured lumbar disc.

This procedure is designed to alleviate the compression of the spinal nerves, providing relief from these debilitating symptoms. It is typically recommended when conservative treatments, such as physical therapy or medication, have not provided adequate relief.

What Does Microdiscectomy Treat?

Lumbar microdiscectomy is an effective treatment for a range of conditions, including the following.

  • Herniated Disc: When the inner core of an intervertebral disc protrudes through the outer layer, it can compress nearby spinal nerves, leading to pain and other symptoms.
  • Bulging Disc: A bulging disc occurs when the disc extends beyond its normal boundaries without rupturing. This can also cause pressure on spinal nerves and result in discomfort.
  • Sciatica: Lumbar microdiscectomy can alleviate sciatica symptoms, a condition characterized by leg pain radiating down the buttocks due to nerve compression.
  • Foraminal Stenosis: Narrowing of the foramen (the openings between vertebrae) can lead to nerve compression. Microdiscectomy can help create more space for the nerves.
  • Degenerative Disc Disease: In cases where a degenerated disc is causing pain and disability, microdiscectomy can provide relief by removing the affected portion of the disc.
  • Recurrent Disc Herniation: Sometimes, a previously herniated disc may re-herniate. Microdiscectomy can be used to address the recurrent issue.

How Can I Prepare for Lumbar Microdiscectomy Surgery?

Preparing for lumbar disc surgery involves several important steps. We outline these steps below.

Consultation: Schedule a consultation with a spine specialist at the Advanced Spine Center. During this appointment, you’ll discuss your symptoms, medical history, and any previous treatments. Your surgeon will perform a physical examination and may order diagnostic tests, such as MRI or CT scans, to evaluate the condition of your lumbar spine.

Educate Yourself: Take the time to understand the procedure, its potential benefits, and any associated risks. Your surgeon will provide you with detailed information to help you make an informed decision.

Medical Clearance: Ensure that you are in good overall health. Your surgeon may request medical clearance from your primary care physician to ensure you are fit to have the surgery performed.

Medications: Discuss your current medications with your surgeon. You may need to adjust or discontinue certain medications, especially blood thinners, in the weeks leading up to the surgery.

Fasting: Your surgeon will provide specific instructions regarding fasting before the surgery. It’s essential to follow these guidelines to reduce the risk of complications during the procedure.

Arrange Transportation: You’ll need someone to drive you to and from the hospital or surgical center on the day of your procedure, as you may be unable to drive immediately after surgery.

Post-Operative Care: Prepare your home for a smooth recovery. Stock up on groceries, ensure a clean and comfortable living space, and arrange for assistance if needed.

What to Expect During a Microdiscectomy Lumbar Surgery

what to expect during a microdiscectomy lumbar surgery

Lumbar microdiscectomy is typically performed under general anesthesia. The surgery involves several key steps, including the following.

  1. Incision: Your surgeon will make a small incision near the affected disc in your lower back. The size of the incision is minimal, typically ranging from 1 to 1.5 inches.
  2. Dilation: A tubular retractor is inserted through the incision, gently dilating the surrounding tissues and providing access to the spinal canal and herniated disc.
  3. Disc Removal: Using specialized surgical instruments and minimally invasive discectomy techniques, your surgeon will carefully remove the herniated lumbar disc, relieving pressure on the spinal nerve root and spinal cord.
  4. Closure: After the disc material is removed, the tubular retractor is removed, and the incision is closed with sutures or staples.

The entire procedure usually takes around 60 to 90 minutes, but the exact duration can vary depending on the complexity of the case.

What Are the Surgical Approaches for Lumbar Microdiscectomy?

Lumbar microdiscectomy can be performed using different surgical approaches, each with its own advantages. Generally, it is a minimally invasive surgery using techniques such as micro-endoscopic discectomy. The choice of approach depends on the specific condition and the surgeon’s preference. Two common approaches are tubular microdiscectomy and percutaneous endoscopic lumbar microdiscectomy.

Your surgeon will select the most appropriate approach based on your specific condition and individual needs.

Tubular Microdiscectomy

Tubular microdiscectomy involves the use of a tubular retractor, which is a thin, cylindrical instrument. The retractor is inserted through a small incision and serves as a tunnel to access the spine and treat the herniated disc. This approach offers minimal disruption to the surrounding tissues, reduced scarring, and a quicker recovery compared to traditional open surgery.

Percutaneous Endoscopic Lumbar Microdiscectomy (PELD)

Percutaneous endoscopic lumbar discectomy is a highly minimally invasive approach that uses a tiny endoscope, which is a thin, flexible tube with a camera on its tip, to visualize and access the surgical site. The endoscope is inserted through a small incision, and the surgeon can perform the procedure while viewing the internal structures on a monitor. PELD provides excellent visibility of the herniated disc, minimal tissue damage, and a faster recovery.

What to Expect from Recovery After Lumbar Microdiscectomy Surgery

what to expect from recovery after lumbar microdiscectomy surgery

Recovery after lumbar microdiscectomy surgery is a crucial phase in your journey to regaining a pain-free and active lifestyle. Here’s what you can expect during the recovery process.

  • Hospital Stay: Most lumbar microdiscectomy patients can go home the same day or the day after the surgery. In some cases, an overnight hospital stay may be recommended for observation.
  • Pain Management: You may experience some discomfort or pain at the incision site, but this is typically manageable with prescribed pain medicines. It’s essential to follow your surgeon’s instructions for pain management.
  • Mobility: You’ll be encouraged to start moving as soon as possible to prevent stiffness and promote healing. However, you should avoid strenuous activities, bending at the waist, or heavy lifting for a specific period following the surgery.
  • Incision Care: Keep the surgical incision clean and dry as directed by your surgeon. You will be provided with instructions on wound care and when to remove sutures or staples.
  • Physical Therapy: Your surgeon may recommend physical therapy to help restore strength and flexibility in your lower back. This can be an essential part of your recovery process.
  • Follow-Up Appointments: You’ll have several follow-up appointments with your surgeon to monitor your progress and make any necessary adjustments to your treatment plan.
  • Return to Work: The timeline for returning to work or daily activities will depend on your individual progress and the nature of your job. Many patients can resume light activities within a few weeks, while those with physically demanding jobs may need more time.

How Long Will Recovery Last?

The duration of recovery varies from patient to patient. In general, you can expect the following timeline.

Immediate Post-Op: You may experience some pain and discomfort in the days following surgery.

2 to 6 Weeks: During this period, you’ll gradually increase your activity levels, and your pain should decrease.

6 to 12 Weeks: Most patients can return to light work and everyday activities during this time.

12 Weeks and Beyond: Full recovery and a return to more strenuous activities may take several months. Your surgeon will provide guidance based on your progress.

Remember that adherence to post-operative instructions and physical therapy can significantly influence your recovery timeline.

Potential Complications and Risks of Lumbar Microdiscectomy

While lumbar microdiscectomy is generally considered safe and effective, like any surgical procedure, it carries some risks. It’s essential to be aware of these potential complications, although they are relatively rare. Risks include the following.

  • Infection: Infections at the surgical site can occur but are uncommon. Following proper wound care and hygiene instructions is crucial to minimize this risk.
  • Nerve Damage: In rare cases, nerves adjacent to the surgical area may be affected, leading to new or worsened neurological symptoms.
  • Bleeding: Excessive bleeding can occur, although it is a rare complication.
  • Dural Tear: The dura, the protective membrane surrounding the spinal cord, can be inadvertently torn during surgery. This may require additional surgical repair.
  • Recurrence: There is a small chance that the disc issue may recur in the future.
  • Anesthesia Risks: General anesthesia carries its own set of potential complications, which will be discussed with you by the anesthesiologist.

It’s essential to discuss these risks with your surgeon during the pre-operative consultation. They will provide you with a detailed understanding of the procedure, potential complications, and steps taken to minimize these risks.

Contact the Advanced Spine Center Today for Lumbar Microdiscectomy in McKinney, TX

At the Advanced Spine Center, our team of highly skilled and compassionate spine specialists is dedicated to helping you regain your quality of life through advanced surgical techniques like lumbar microdiscectomy. If you’re suffering from chronic back pain or other symptoms related to lumbar disc issues, we’re here to provide the guidance and care you need.

Don’t let pain limit your life any longer. Contact us today to schedule a consultation with a McKinney orthopedic spine surgeon and explore the possibilities of lumbar microdiscectomy. Your spine health is our priority, and we’re committed to helping you get back to the activities you love. To schedule an appointment with us, please call our office at 972-499-5457.


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Robert Alicea
Robert Alicea
The doctor and his staff were very welcoming and kind ..explained my issues in detail . Will highly recommend
German Cisneros
German Cisneros
Every visit to Dr. Courtney's office is educational and most beneficial. Dr. Courtney and ALL of his staff are the best!
Jamey Derryberry
Jamey Derryberry
My wife and I both go to Dr Courtney for back issues. Great care. Great staff. Great surgical facility and smooth process. LOVE THEM!!!
Mark Cotter
Mark Cotter
Dr Courtney and his staff truly care about my well being. They are the only ones I have found that have been able to help me with my workman's comp claim
Does your back hurt? Has your back been hurting, yet no other surgeon can or won't help you; or worse tells you nothing is wrong? You're in the wrong place! I had 4 back operations with no improvement. I had an additional 6 other consultations with "there's nothing wrong with you". The truth was I was probably 2-3 months away from permanent leg and lower back paralysis. He fixed me. I can stand, I can walk. I threw away my crutches of 13 years. If you need back correction - GO SEE THIS DOCTOR! He will fix you, and fix you correctly, if it is humanly possible. Enough said! Go see him. He tells the truth and tells it like it is. 🙂
Terri Stewman
Terri Stewman
Dr courtney and his staff are great! Dr courtney always takes his time with you and I feel he truly cares about his patients.
Ross Wigington
Ross Wigington
Great Dr and helped me multiple times over the years Would recommend to anyone that needs help
Bridgette e Mentesana
Bridgette e Mentesana
Dr. Courtney is knowledgeable and takes the time to really explain what’s going on and explain why you’re in pain and the several options to correct the issue. I never felt rushed and he was on time to our appointment which is such a rare thing. The rest of the office staff was absolutely top notch. They were really down to earth and so nice, you could tell they liked their jobs and were treated well. It was a very welcoming atmosphere. I felt very comfortable and I knew I was in capable hands just by the way he treated his staff and listened to his patients. Highly recommend.
Marie Benton
Marie Benton
Dr Courtney did my neck surgery and my 360 back surgery. I would not go to another surgeon, he cares about his patients and it shows! His staff is great as well! I trust his opinion and skills 100%