Disc herniations are caused by tears in the normal cartilege that surrounds and contains the core of the disc.
Disc herniations occur when a tear in the outer layer of a disc occurs. This allows the softer, inner cartilege to move out of the normal location. If it moves backwards or to the sides, it can cause severe leg pain sometimes with minimal back pain.
Most disc herniations will improve without surgery and patients are encouraged to attempt conservative, non-surgical care including steroids, anti-inflammatory medications like Ibuprofen, steroid injections, physical therapy, and chiropractic care.
When pain is too severe for conservative care or when symptoms fail to improve, surgery is an option.
Disc surgery, or discectomy, is now performed almost universally in a tubular fashion in my practice. This a modern form of discectomy that allows for muscle sparing and less overall surgical risk.
The surgery is performed through a tube and allows for removal of the herniated fragment of disc that has moved outside of the disc space. In some cases, a repair of the tear is performed known as an annular repair. The surgery takes less than 1 hour and is usually outpatient. After surgery, patients need to restrict activities to reduce the risk of herniation.
You can learn more about discectomy at:
You can learn more about annular repair at:
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Legacy SpineHealth Clinic
24900 SE Stark St, Suite 109
Gresham, OR 97030
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We take self referrals as long as your insurance doesn’t require a referral.
Your doctor can refer you directly and this can be helpful for coordinating imaging close to home.
We see patients teenagers and older.
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