The damaged portion of a disc in the spine that has its soft centre protruding through the thick outer lining is removed during a diskectomy. Nearby nerves may become irritated or compressed by a herniated disc. The best treatment for pain caused by a compressed nerve that radiates down the arms or legs is diskectomy. Treating back or neck pain alone is less effective with this procedure. The majority of people with back or neck pain find relief from other treatments, such as exercise, weight loss, medication for arthritis, or physical therapy. If other nonsurgical treatments have failed or if symptoms worsen, a healthcare professional might advise a diskectomy. Several techniques can be used to carry out a diskectomy. A diskectomy is performed to relieve the pressure a herniated disc (also known as a slipped, ruptured, bulging disc, or disc prolapse) places on a spinal nerve. Many surgeons prefer minimally invasive diskectomy, which uses small incisions and a microscope or tiny video camera to view the procedure. When a portion of the disk's softer interior material pushes through a tear in its outer lining, the result is a herniated disc. A doctor may advise a diskectomy if any of the following conditions exist: Nerve weakness makes it difficult to stand or walk; conservative treatment, such as physical therapy or steroid injections, fails to relieve symptoms after 6 to 12 weeks; and pain that spreads to the buttocks, legs, arms, or chest becomes unbearable.
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