How to Protect Your Spine After Surgery
Can a Lumbar Disc Herniation Happen Again After Surgery?
Have you ever suffered from a lumbar disc herniation and undergone surgery to fix it? If so, you might be wondering, can it happen again? And can I prevent it? As a board-certified neurosurgeon, I’m going to explain to you the causes of recurrent disc herniation and what you can do to protect your spine.
Understanding Disc Anatomy
Let’s talk about disc anatomy. Your spine is made of bones called vertebrae held together with ligaments. Between each of the vertebrae is a disc which acts as a shock absorber between the bones.
The disc is made up of two key parts: the annulus fibrosis and the nucleus pulposus.
The annulus fibrosis is the tough outer ring of the disc made of strong fibrous cartilage. It provides structure and containment for the inner core. Inside the nucleus pulposus is the softer gel-like center that absorbs impact and allows flexibility in the spine.
When a lumbar disc herniates, a tear or hole in the annulus fibrosis allows for the nucleus pulposus to push through. This herniated material can press on nearby nerves causing pain, numbness, or weakness in the back and legs.
Why Recurrent Disc Herniation Happens
Surgery can be performed to remove the herniated portion of the nucleus pulposus, relieving pressure on the nerve. However, the surgeon will often preserve as much healthy disc as possible.
What this means is that more of that inner core can potentially herniate again in the future. And that’s because there remains a defect or hole in the annulus fibrosis. Once torn, that annulus fibrosis doesn’t fully regain its original strength. Instead, weaker scar tissue forms over that hole, leaving the disc more vulnerable for re-herniation.
How to Reduce Your Risk
But there are ways to reduce this risk. A strong core supports the spine and reduces stress on healing discs. And I’m not talking about having six-pack abs. I’m talking about strengthening deep paraspinal muscles like the erector spinae and multifidus muscles. Targeted exercises through the guidance of a physical therapist can help build stability and prevent future injuries.
Lifestyle modifications play a huge role as well. Smoking and poor nutrition impair disc healing and reduce collagen production. Obesity and excess loads on the spine increase stress on the disc, making re-herniation more likely. So what you can do to prevent recurrent disc herniation is avoid some of these risk factors.
Everyday Habits to Protect Your Spine
Avoid heavy lifting and minimize bending and twisting early in recovery. Stay hydrated. Maintain good posture. Consider sleeping with a pillow between your knees to reduce spinal stress. Avoid prolonged sitting and always follow your surgeon’s instructions regarding bracing and physical therapy.
While genetic factors may predispose some individuals to disc degeneration and herniation, taking these proactive steps can significantly lower your risk. Protecting your spine is a lifelong commitment and small changes can make a huge difference.
Final Thoughts
If you found this video helpful, please be sure to like, subscribe, and share it with anyone who might benefit. Stay strong, stay healthy, and take care of your spine. Thank you for watching, and I’ll see you next time.