I've been dealing with herniated L4-L5 disc for about 2 years now. Diagnosed on MRI, circumferentially bulging disc. Also have arthritic changes in cervical spine and hips. I have an underlying neurological dystrophy called CMT which is genetic from birth which is a complicating factor and makes me wary of jumping into surgery without doing my own research into what I should do. I had a consult with an orthopedic surgeon last year who said that if everything else I tried failed (it has, including pain shots), he would do a laminectomy, which is a 2 hr operation. At that time, I was scared of getting into that, so continued to explore my options at pain management, but nothing has worked. I also don't just want to throw pain meds or anti-inflammatory drugs at this, if it can be helped surgically.
At no time did the orthopedic surgeon suggest microdisectomy. I had asked if there was a less invasive procedure he could do to fix my problem and he said, "lamniectomy is the least invasive option." Naturally, this bummed me out, and I haven't been back to him, although I did like him and his staff.
So, is there a reason why I wouldn't have been offered MD rather than a full two hr procedure? I realize, lesser surgeries can fail, but so can bigger surgeries. It is worth my time to pursue a md rather than laminectomy, given my underlying health issues of a neurological dystrophy. I am wary of finding myself in even worse situation. I do not have sciatica, no leg pain or burning or any of that. I mainly hurt when I bend over, turn, or walk....it's more of a "mechanical" pain if that makes sense. My back does not "ache" or have shooting pains. But my back in the L4-L5 area feels like a horrible, massive injury type of feeling, huge pain/pressure on any flexion of the back in that area. I am now desperate to get this alleviated, because nothing else has worked. Had two sets of pain injections into the L4-L5, and only get minimal 2 week relief where I could bend over easier without as much pain or stiffness. I have given up on pain injections, as that does not work. Thanks for any input about microdisectomy in my particular set of circumstances.