Best Slipped Disc Treatment in Gurgaon Haryana India

Lumbar Disc Prolapse (Slipped Disc)
– all you need to know!

Do you know that more than 95% of the cases of slip disc can be treated without surgery. Even if surgery is needed, the surgery can now be done in an advanced minimally invasive manner under neuromonitoring control with more than 98% success rate.

Are you suffering from any of the following problems?

  • Low back pain
  • Radiating pain starting from back or buttock and going into legs
  • Sharp shooting type of pain, electric shock like pain, burning type pain, stabbing pain or muscle ache in the leg
  • Numbness in the legs
  • Heaviness in the legs
  • Weakness in the legs
  • Heaviness or weakness or pain in the legs which comes after walking for some distance
  • Sciatica

Then we have a definitive time tested , scientifically proven cure for you

Follow These Simple Step

  • STEP 1 : Whatsapp your X-ray films/MRI films alongwith short history of your complaints to 9958500258
  • STEP 2 : Get expert opinion by Dr.Hitesh Garg (senior consultant and head of spine surgery at Artemis hospital Gurgaon )
  • STEP 3 : Fix an Appointment at Center for Spine and Scoliosis, Gurgaon call +91 8377004016
  • STEP 4 : Life free of pain and disability!

Kindly Share Xray/MRI Report with us

what is Sciatica?

Whenever a patient of disc prolapse , low back pain, sciatica , numbness or weakness of legs presents to us, a detailed clinical assessment of the patient is done first. Detailed complaints of the patients are listened to find out the duration of complaints, frequency of complaints and we try to determine how has these complaints affected patient's quality of life.We formally calculate patients disability based on oswestry disability index. A detailed neurological examination of the patient is done to look for any muscle weakness or numbness in the legs.

The first line of treatment is usually physiotherapy, exercises
(Please go to our youtube channel or exercise page for details),
medicines and modification of lifestyle
(Please go to our youtube channel for details)

But still there are some patients who need surgery for disc prolapse and delaying surgery in these cases can be catastro

Who are the cases who will need surgery for lumbar disc prolapse

  • Patients having weakness in any of the major muscles of legs like ankle muscles (e.g. weakness in ankle dorsiflexors causing foot drop), knee muscles, hip muscles etc
  • Numbness in the foot or buttock or any part of the leg due to lumbar disc prolapse
  • Patient has severe sciatica pain despite trying 6 weeks to 3 months of conservative treatment
  • Frequent ( more than 3 per year usually) episodes of low back pain or sciatica making the patient bed ridden
  • Severe oswestry disability index means poor quality of life despite trying conservative treatment of more than 6 months
  • Urinary problems like hesitancy in starting urination, slowing of stream of urination, frequent urination, feeling of incomplete emptying
  • Constipation, straining while passing stools
  • Loss of control over passing urine and stools
  • Numbness in the pelvic area or around the genitals

When do patients of lumbar disc prolapse need surgery

Can the Disc prolapse be treated with Spinal Injection:

There are 2 kinds of spinal injections that are given for disc prolapse

  • Facet injections : Whenever the disc slips, there is some strain or subluxation or inflammation in the joints of the spine known as facet joints. Giving steroid injections in these joints can relieve back pain temporarily for some time. If the patient strengthen his/her core muscles in this pain free period, then he/she can get lasting relief from pain
  • Epidural injections : In this procedure, a combination of steroid medicine and local anesthetic is given around the inflamed nerves. Whenever a disc slips and compresses the nerves, there is usually local inflammation around the nerves. Decreasing this inflammation with steroid medication can help to relieve the radiating pain. This pain relief may be temporary or permanent. Epidural injection can be tried before deciding for surgery, provided there is no neurological deficit

Types of surgeries

Lumbar Microdiscectomy

Microdiscectomy is a minimally invasive spine surgery which is performed through a 1 to 1.5 inch incision. In this surgery, the bone compressing over the nerve root or the disc from under the nerve root is removed under microscopic vision without damaging the normal musculoligamentous structures and joints and thus preserving spinal stability.

A microdiscectomy is more reliable in relieving leg pain than relieving back pain.

After a microdiscectomy procedure, usually leg pain is relieved immediately and patients usually go home on the same day or next day of surgery with significant pain relief.

If patient has weakness or numbness in the leg that usually takes some weeks or months to improve and may not improve fully in a few patients especially if surgery is done late after onset of weakness/numbness.

We usually do dynamic x-rays of spine before undertaking the procedure. These x-rays help us to assess spinal stability.  Microdiscectomy is a highly successful surgery in patients whose main complaint is leg pain and they have minimal back pain and there is no instability on dynamic x-rays

  • Endoscopic Discectomy
  • Spinal fusions
    • TLIF
    • OLIF
    • LIF
    • PLF

What is a Slipped (Prolapsed) Disc?

The spinal column is made up of a series of bones (vertebrae) stacked onto each other. These bones are cushioned by discs in between them. The discs protect the bones by acting as shock absorbers from daily activities like walking, lifting, and twisting.

Each disc has two parts: a soft, gelatinous inner portion (Nucleus pulposus) and a tough outer ring (Annulus fibrosus).

A slipped disc refers to an intervertebral disc of the spine that has lost its normal shape and/or consistency. The altered shape occurs when the disc’s nucleus bulges or leaks out of its annulus. Several medical terms, such as herniated, ruptured, torn, bulged, or protruding disc may be used interchangeably with a slipped disc

What are the symptoms of a slipped disc?

You can have a slipped disc in any part of your spine, from your neck to your lower back. The lower back is one of the more common areas for slipped discs. Your spinal column is an intricate network of nerves and blood vessels. A slipped disc can place extra pressure on the nerves and other structures around it.

Symptoms of a slipped disc include:

  • pain and numbness, most commonly on one side of the body
  • pain that extends to your upper or lower limbs
  • pain that worsens at night or with certain movements
  • pain that worsens after standing or sitting
  • pain when walking short distances
  • unexplained muscle weakness
  • tingling, aching, or burning sensations in limbs
  • loss or alteration in sensations
  • Difficulty controlling bowel movements or bladder function

The types of pain can vary from person to person. See your doctor if your pain results in numbness or tingling that affects your ability to control your muscles.

How does a slip disc occur? What Are Causes and Risk Factors of a Slipped Disc?

The two most common causes for a slipped or herniated disc are:
  • Natural degeneration of the disc, which causes the nucleus pulposus to become less hydrated and weaken with age.
  • Trauma / Injury to the disc, which may occur due to lifting a heavy load using incorrect posture or from external forces, such as, a whiplash injury. especially if accompanied by twisting or turning; and excessive strain forces associated with physical activities. Sudden forceful acute trauma is an uncommon cause of a slipped disc.
Rarely, it might be difficult to find a particular cause of it.

The importance of a correct diagnosis

A doctor can accurately diagnose a slipped disc and rule out other causes of similar pain, such as tumors, fractures, or infection. A correct diagnosis also helps formulate an effective treatment plan to control your symptoms and prevent the progression of nerve or spinal cord damage.

When Should Someone Seek Medical Care for a Slipped Disc?

You should consult with your doctor for any neck or back pain significant enough to limit activity, any back pain that lasts more than a few days, or any neck or back pain associated with numbness or weakness, loss of bladder or bowel control, fever, or abdominal or chest pain. The doctor may suggest an urgent office evaluation or may advise you to go to the hospital's emergency department.

Any injury that may suggest more significant back or neck problems, such as a fall from a height or a direct blow to the spine, should be evaluated at the hospital's emergency department. Consider calling for help. Medical teams can immobilize the spine and protect against further damage.

You should also seek emergency evaluation if the pain or symptoms are severe enough to prevent you from walking, are associated with severe numbness or weakness of any extremity, are associated with loss of bowel or bladder control, or are associated symptoms not readily explained by the spine problem (such as fever, abdominal pain, or chest pain).

How are slipped discs diagnosed?

Your doctor will first perform a physical examination. They will be looking for the source of your pain and discomfort. This will involve checking your nerve function and muscle strength, and whether you feel pain when moving or touching the affected area. Your doctor also will ask you about your medical history and your symptoms. They will be interested in when you first felt symptoms and what activities cause your pain to worsen.

Imaging tests can help your doctor view the bones and muscles of your spine and identify any damaged areas. Examples of imaging scans include:

  • X-rays
  • CT Scan
  • MRI Scan
  • DEXA Scan

How are slipped discs treated?

Treatments for a slipped disc range from conservative to surgical. The treatment typically depends on the level of discomfort you’re experiencing and how far the disc has slipped out of place.

Most people can relieve slipped disc pain using an exercise program that stretches and strengthens the back and surrounding muscles. A physical therapist may recommend exercises that can strengthen your back while reducing your pain.

If your slipped disc pain does not respond to over-the-counter treatments, your doctor may prescribe stronger medications. These include:

  • Muscle relaxants to relieve muscle spasms
  • Analgesics to relieve pain
  • Use Nerve pain medications
  • Nerve root block

Do you know that spine surgery for lumbar disc problems has become very safe these days?

We take special precautions to make the spine surgery very safe. Some of our practises that have helped are as follows

Who are the cases who will need surgery for lumbar disc prolapse

  • Neuromonitoring : Neuromonitoring helps to monitor nerves and muscles during spine surgery, and thus significantly decreases the risk of any nerve injury during surgery. We have been successfully using neuromonitoring in critical spine surgeries like scoliosis since 2014. We encourage patients to discuss the use of neuromonitoring while planning for spine surgery.
  • Advanced imaging with C-arm, O-arm,Computer Navigation. Improved imaging techniques have helped us to place the spinal implants with utmost accuracy to prevent any complications
  • Use of Operative Microscope : High quality surgical loops and operative microscope helps us to get an enlarged view of the nerves and discs and thus preventing any injury to the nerves.
  • Use of Dynamic X-rays : We take x-rays of L-S spine in different positions like spinal flexion and spinal extension before planning the surgery. If there is any spinal instability on dynamic x rays, we sometimes opt for spinal stabilization to decrease the chances of recurrence of disc herniation
  • Full-length spinal x-rays: In cases of associated scoliosis or kyphosis, we have the facility of full length spinal x-rays on 3 feet film. We might need to go for correction of spinal deformity at the same time.
  • Detailed clinical and radiological assessment : Along with detailed clinical examination, we use time tested scientific tools like oswestry disability index to assess patients disability before planning any surgery. Patients' requirements from personal and professional life are taken into consideration before deciding the exact surgical plan.
  • Safe and advanced anesthesia techniques, special tables for spine surgery (Allen table), ICU and cardiac backup have enabled us to give very good results in surgeries done at an advanced age.

Your doctor may recommend surgery if your symptoms do not subside in six weeks or if your slipped disc is affecting your muscle function. Your surgeon may remove the damaged or protruding portion of the disc without removing the entire disc. This is called a microdiscectomy.

Microendoscopic disectomy:

It is a minimally invasive procedure performed through a tubular device and designed to relieve pain caused by herniated disc pressing on nerve roots. It is performed by technologically advanced and newer instruments to remove the prolapsed disc with very small incision, decrease dissection and decreased disruption of normal tissue. An incision of size 5 mm is made over the site of disc.

Microendoscopic disectomy

Because the incision is so small, there is negligible surgical trauma to normal tissue and muscles, negligible blood loss. Special retractors are placed in the incision. An endoscope, which is basically a tube with camera at the tip is placed inside the incision and we reach to the spine. Small amount of bone is removed and herniated disc is removed through that hole. Free nerve root is visualised through the endoscope.

Then endoscope and retractors are removed. Since the incision is so small some surgeon choose to put band aid over the wound. Usually the scar of surgery is not noticeable after a month time.

This can also be done by a small key hole incision – Endoscopic Discectomy In more severe cases, your doctor may replace the disc with an artificial one or remove the disc and fuse your vertebrae together. This procedure, along with a laminectomy and spinal fusion, adds stability to your spinal column.

What is the outlook for someone with a slipped disc?

Most people with a slipped disc respond well to conservative treatment. Within six weeks their pain and discomfort will gradually lessen.

Is it possible to prevent a slipped disc?

It may not be possible to prevent a slipped disc, but you can take steps to reduce your risk of developing a slipped disc. These steps include:

  • Use safe lifting techniques: Bend and lift from your knees, not your waist.
  • Maintain a healthy weight.
  • Do not remain seated for long periods; get up and stretch periodically.
  • Do exercises to strengthen the muscles in your back, legs, and abdomen.


News & Updates

  1. Completely Paralyzed Cancer Patient Walks After Spine Surgery READ MORE >>
  2. Dr. Hitesh Garg conferred with 'Atal Swasthya Bhushan Samman' award 2019 December.
  3. Dr Himanshu Tyagi conferred 'Vishisth chikitsa ratan' award 2019 by Delhi Medical Council.
  4. Dr Tarun khukreja awarded ' Best emerging Spine surgeon' by MBB jury in June 2019 .
  5. Live demonstration of scoliosis correction surgery by Dr Hitesh Garg in Excel care hospital, Guwahati.
  6. 23 percent of IT professional suffer from neck pain. Times of India - 25th January 2019 READ MORE >>
  7. NMC Bill explained: Point of concerns Vs clarifications READ MORE >>
  8. Center for spine equipped with latest technology in the form of O-arm and Navigation technology

Do you have any questions?

feel free to contact us!