Microscopic discectomy
Microscopic discectomy
If the conservative treatment measures in cases of proven belt slip incident show no positive effect and strong pains with impaired quality of life or even neurological signs with numbness or paralysis, a minimally invasive removal of the herniated disc is required. The method of choice is the microscopic range of the discharged disc material from the rear. This method is considered the “gold standard” method in the surgical treatment of herniated discs in the cervical spine. PD Dr. med. Berthold is an expert in the field of the microscopic disc surgery and will advise you during the treatment with his expertise.
Your advantages at OrthoCenter Munich
- International Excellence in Orthopaedics: Treatment of patients from around the world with multilingual care and the highest international standards.
- Scientifically Leading Expertise: Over one hundred scientific publications and international research ensure evidence-based medicine at the highest level.
- Modern Conservative and Minimally Invasive Therapies: Regenerative medicine such as PRP, hyaluronic acid or stem cell therapy combined with precise arthroscopic surgery.
- Specialisation in Shoulder, Knee, Elbow and Ankle: Individual diagnostics and treatment for all relevant joint conditions and injuries.
- High-Level Sports Orthopaedics: Modern treatment concepts and structured return-to-sport strategies for recreational and professional athletes.
- Premium Private Practice with Personal Care: Short pathways, direct communication with your physician and individual, high-quality support throughout the entire course of treatment.
Microscopic Disc Surgery (Cervical Spine) Therapy
The goal of the microscopic removal of the herniated disc is the mechanical relief of the oppressed nerve structures. After a small skin incision, the three-dimensionality optimum illumination of the surgical field is achieved by using a high-resolution operating microscope one hand maintain, on the other hand scored. While sparing the nerve structures the leaked disc tissue may be accurately located and removed while maintaining the stability of the spine. This high precision of surgical operation is ensured. This is taking into account the located in the cervical region of the spinal cord particularly important. At the same time the surgical trauma can be kept extremely low because of the small operating access. With this minimally invasive procedure the surrounding structures are protected and reduces the risk of structural injury of nerve tissue to a minimum. Thereby, the operation time is reduced, as was length of hospital stay and convalescence. The surgical procedure is performed under general anesthesia in the prone position and takes about 60 minutes. Already after a few hours is first started mobilizing with assistance.
Rehabilitation
In the first four weeks after surgical intervention, we recommend physical indulgence. This includes wearing a specially adapted soft cervical collar, which relieves the neck and supports the healing. Targeted physiotherapy treatment should be needed in the aftermath, if necessary, physical measures in the treatment of muscle tension can be performed concomitantly. After a period of six to eight weeks, the usual activities at work and play can be resumed.
Microscopic Disc Surgery (Lumbar Spine) Therapy
The goal of the microscopic removal of the herniated disc is the mechanical relief of the oppressed nerve structures. After a small skin incision, the three-dimensionality optimum illumination of the surgical field is achieved by using a high-resolution operating microscope one hand maintain, on the other hand scored. While sparing the nerve structures the leaked disc tissue may be accurately located and removed while maintaining the stability of the spine. This high precision of surgical operation is ensured. At the same time the surgical trauma can be kept extremely low because of the small operating access. With this minimally invasive procedure the surrounding structures are protected and reduces the risk of structural injury of nerve tissue to a minimum. Thereby, the operation time is reduced, as was length of hospital stay and convalescence. The surgical procedure is performed under general anesthesia in the prone position and takes about 45 minutes. Already after 12 hours is first started mobilizing under assistance.
Rehabilitation
In the first four weeks after surgical intervention, we recommend physical indulgence. This includes the wearing of a specially adapted hull corsets, which relieves the back and supports healing. After four weeks shall be commenced physiotherapy treatment measures under the guidance back to the core muscles to strengthen. This guarantees to be able to promptly take the usual activities at work and play again. Depending on the physical load, the working capacity is six to eight weeks made after surgical intervention again.
Your spine specialist in Munich
PD Dr. med. Daniel P. Berthold
- Board-certified specialist in orthopedics and trauma surgery with international training at TUM, LMU, and the University of Connecticut.
- Over 100 scientific publications and award-winning research.
- Modern conservative therapies such as PRP, hyaluronic acid, and stem cell procedures.
- Precise minimally invasive surgery and individualized, evidence-based treatment planning
- Expertise in diagnosing and non-surgical treatment of disc problems, facet joint osteoarthritis, and SI joint disorders
- Performing targeted injections such as facet, SI joint, and periradicular injections to reduce pain and improve function
- Individualized surgery-avoidance strategies, second opinions, and evidence-based treatment planning for acute and chronic back pain
