Spinal Decompression
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Spinal Decompression
Spinal decompression surgery is a procedure designed to relieve pressure on the spinal cord or nerves caused by conditions such as herniated discs, spinal stenosis, or degenerative disc disease. This pressure can cause pain, numbness, tingling, and weakness, which may limit mobility and quality of life. The surgery works by creating more space within the spine, allowing the nerves to be freed from compression. By doing so, spinal decompression helps to alleviate pain and prevent further nerve damage.
Who Needs Spinal Decompression Surgery?
Spinal decompression surgery is typically recommended for individuals who suffer from chronic back pain or nerve-related symptoms that don’t respond to non-surgical treatments. Several conditions may lead to the need for this surgery:
- Herniated Discs: When the soft inner material of a spinal disc bulges out and presses on nearby nerves, leading to pain and discomfort.
- Spinal Stenosis: Narrowing of the spinal canal can pinch the spinal cord or nerves.
- Sciatica: Pain caused by irritation or compression of the sciatic nerve, often resulting in pain down the legs.
- Degenerative Disc Disease: The breakdown of spinal discs can lead to loss of height and increased pressure on nerves.
Surgery may be necessary when conservative treatments such as physical therapy, medications, and injections fail to relieve pain or when the condition worsens, leading to symptoms like significant weakness, loss of bladder or bowel control, or severe numbness.
Types of Spinal Decompression Surgery
There are several types of spinal decompression surgeries, each targeting different areas of the spine to relieve pressure:
Laminectomy
This procedure involves the removal of part or all of the lamina, the bony arch at the back of the spine. By removing this portion, more space is created in the spinal canal, allowing for the nerves to be relieved from compression. Laminectomy is often performed for conditions like spinal stenosis.
Discectomy
This surgery involves removing the herniated portion of a disc that is pressing on the nerves. By eliminating the part of the disc causing compression, discectomy reduces pain and inflammation.
Foraminotomy
In this procedure, the surgeon removes bone or tissue to widen the foramina, the openings where nerves exit the spine. This provides more space for the nerves, helping to relieve pain caused by nerve compression.
Spinal Fusion
After decompression, spinal fusion may be performed to stabilise the spine. This involves joining two or more vertebrae using bone grafts, screws, or other implants. It helps to maintain the correct alignment and prevent movement that could cause additional compression.
Corpectomy
This surgery involves the removal of part of a vertebra along with the damaged disc. The space is then filled with a bone graft or implant to maintain stability and prevent further nerve compression. This is often used in cases where a disc and vertebra are severely damaged.
What Happens During Spinal Decompression Surgery?
- Anesthesia: General anesthesia is administered to keep you asleep and pain-free throughout the procedure.
- Positioning: You will be positioned on the operating table based on the area of the spine being treated.
- Incision: Small incisions are made near the affected area of the spine to provide access for the surgery.
- Surgical Procedure: The surgeon removes bone, tissue, or disc material to relieve pressure on the spinal nerves.
- Duration and Recovery: The surgery typically lasts 1 to 3 hours, and you will be moved to a recovery room where your condition will be monitored.
Recovery After Spinal Decompression Surgery
Recovery after spinal decompression surgery involves a careful balance of rest, mobility, and physical therapy to promote healing and restore function. Here’s what you can expect during the recovery process:
Walking and Mobility
In the initial phase of recovery, you will be encouraged to begin gentle movements as soon as possible. Walking is a key activity to promote circulation and reduce the risk of complications such as blood clots. With the help of your medical team, you will manage pain with prescribed medications to keep you comfortable as you begin moving around. Most patients are able to walk with assistance soon after surgery, and you may gradually regain your mobility as you continue to heal.
Exercise and Physical Therapy
Physical therapy is a vital part of your recovery journey. Initially, your therapist will introduce light exercises like walking and stretching to promote healing, reduce stiffness, and gradually improve flexibility. As you progress, your therapy will focus on strengthening the muscles around the spine, improving posture, and supporting spinal alignment. These exercises help prevent future injuries and improve mobility. Your rehabilitation program will be tailored to your specific needs by your surgeon and physical therapist, ensuring that you recover as effectively as possible. It's crucial to avoid high-impact activities and heavy lifting until your surgeon clears you for those movements to ensure the best outcomes in your recovery.
Disclaimer:
The content on this page is for informational purposes only and should not be considered a replacement for professional medical advice. Please consult a qualified healthcare professional to discuss your individual condition and treatment options.
Our Doctor
Our Spine Surgeon
Dr Terry Teo
Dr. Terry Teo combines his expertise in spinal health with a personal appreciation for movement and mobility. As a spine surgeon and father, he understands the importance of staying active and pain-free, which drives his commitment to helping patients regain function and improve their quality of life.
Why Choose Us
SportsIN: Orthopaedic & Spine Clinic in Singapore
SportsIN is dedicated to empowering athletes through compassionate care and a holistic approach to spine health. We understand the physical and emotional challenges that come with spine injuries and strive to create a supportive environment where every athlete feels valued. Our spine specialist and surgeon focuses on providing minimally invasive treatments and surgical solutions, developing personalised plans to address each individual’s unique needs. With a focus on recovery and restoring mobility, we guide athletes through their journey to heal from spine injuries, prevent further complications, and regain full functionality, all while prioritising their overall well-being.
