Shocking Reason for Not recommending Surgery to patients with Lumbar Disc.

Disks are physical illnesses. It's classified as a disease, but I think it's better to classify my personal opinion as trauma. This is because it is not a disease that progresses slowly, but is often pushed out in just one second when you bend down, bloom, sit, or wake up.

Causes of early disc pain.

There are two main causes of pain when a disk occurs in the early stages. Severe pain caused by acute inflammatory reactions caused by rupture of fibrils and pain caused by pushed discs pressing nerves. Of the two, most of the pain caused by inflammatory reactions is cured naturally over time. 

One of my extreme words to patients is that if the disc is not physically severely pressed, it will be the same in a year, regardless of whether the patient is drunk every day, taking medicine hard, or performing expensive procedures. However, this is only when the premise is not physically pressed. 

If you are physically pressed, the pain persists even if the inflammatory reaction disappears, and most of the pain is radiation pain. If you compare it to a car road, you can leave it if the four-lane road narrows to three-lane and two-lane roads, but if it is suddenly blocked by one lane or completely, it can't be solved until it is pierced again. If two heavy people flew in your arms, hit your arms, and the stone disappeared, you would be very sick right now, but even if you don't do anything, you'll get better over time. 

If I have a disc, should I get surgery?

Of course, if you take medicine and physical therapy instead of staying still, you can wait less pain than just waiting.But if the heavy stone flies and presses your arm, it keeps hurting no matter how much time passes. Of course, it hurts the most when pressed for the first time and you will adapt to some extent over time, but the pain does not disappear. What if you don't want to get sick? You can clean up the stones. That's the surgery. 

The doctor's judgment is to determine if this person gets better even if he or she drinks every day when taking an MRI or if he or she is a person who will eventually continue to be sick after any treatment except surgery. Although there are individual differences depending on the doctor, the basic concepts are similar.

Then, what should I do if I don't think I need surgery?

You don't have to do anything. But if you don't do anything, it hurts until it gets better naturally, so I'm making it less painful.

There are three major non-surgical treatments. Drug treatment + physical therapy, neuroinjection, and procedures (there are many procedures, and I only perform neuroplasty because I believe most procedures except neuroplasty are ultimately more expensive.) These three are equivalent. You can do anything or you don't have to do anything. Even if you don't do anything, you'll feel the same way over time. 

When explaining the three treatments, we use a lot of metaphors from high-rise buildings. There are three ways for the patient to come down from a high-rise building. Stairs, escalators, elevators. You may feel it, but the stairs are medication + physical therapy, escalators are nerve injections, and procedures are elevators. The effect is better from the front to the back, but it becomes more expensive. 

You can decide whether the pain you feel is on the 63rd, 2nd, or 20th floor. It's not the doctor's decision, it's the doctor's decision. Because you know what floor it is on. It's the 63rd floor, so you don't have to come down the stairs ignorant, and you don't have to take the elevator beyond the 2nd floor. You can think of the surgery as a fire in the building. You can't use all three methods and have to rescue them from the rooftop by helicopter.

How to distinguish back disc surgery from cases where it is necessary or not?

1. Disks are largely divided into cases where surgery is required or not.

2. Whether surgery is necessary or not is judged by the doctor based on how badly the nerve is pressed in the MRI picture. Of course, if you have proper symptoms and the symptoms are severe, surgery is necessary.

3. If surgery is not required, treatment is largely divided into three categories, of which one is to be decided according to the degree of pain.

Oh, and even if the patients are taken to the emergency room, there are no patients who can operate 100 times as long as they have back pain. Even if you walk in intact, if you have symptoms on the leg, including the buttocks, in many cases, surgery is necessary.

Can manual therapy and physical therapy be a treatment for discs?

Finally, to tell you one more thing, manual exercise therapy, which is expressed as exercise therapy, is a treatment that I don't really like. There are people who keep saying that they are here for manual therapy, but rather than paying for it, they say that it is more helpful to take painkillers and eat delicious meals. 

In the case of exercise therapy, it is not intended to reduce pain when there is acute pain, but the pain is treated through three methods of surgery or non-surgical surgery described above, and after that, exercise therapy is to prevent the progression of the disease and solve chronic low back pain.

The most common misunderstanding of disc patients.

And the most misunderstood thing by patients with lumbar disc is that if a disease called disc is detected early, it can be prevented and if you go to the hospital steadily, it is not that kind of disease at all. Disc is a disease that occurs when it bursts in just one second after not being there until one second before the hospital, so prevention is almost impossible. 

This is because it is a disease called disc that simply greets or even explodes while flexing in the bathroom and becomes severe enough to require surgery. All doctors working in spinal hospitals have disc problems and some of them have disc surgery. Another important thing is that the disease called disc has no concept of cure. Once it occurs, the disc comes out every time an MRI is taken for life. 

Therefore, treatment is mainly symptomatic therapy that relieves symptoms. So if you have symptoms, actively receive treatment and fortunately, if you don't have any symptoms, just live well. You don't have to spend money on doctors while going to the hospital when you don't have symptoms.

And many people are asking if it recurs even after surgery and treatment, but discs are not surgery to remove the organs like appendectomy, so of course, there is a recurrence. Just as it is not strange if you operate with a fractured finger, it is not strange if the disc surgery is not an operation that removes all the disc itself, so of course, it is not strange if it bursts again.

And some of the patients say that the treatment is good because they haven't been sick for five years after the procedure or injection, but I'm just lucky that any treatment improves the symptoms at that time, not months or years after treatment. 

"I didn't catch a cold for five years after taking the medicine given by the professor at the university hospital because I caught a cold." As expected, the university professor is different! People don't think that the effects of medicine last long. Just like how you took good care of yourself or were lucky and didn't catch a cold for five years, the disc is the same.