Bulging Discs

Description of a Bulging Disc

Bulging discs are not uncommon, and frequently are displayed on MRIs as an abnormality for both young and older adults. Bulging most likely happens as the body ages and degeneration of the intervertebral disc occurs. A bulging disc is formed when the soft, spongy center of the disc, the nucleus pulposus, pushes out and places pressure on the outer surrounding fibrous ligament, the annulus fibrosis that contains the center. A bulging disc can be problematic when the protrusion against the annulus enters into the space of the spinal canal.

Treatment

Arthroscopic Laser Discectomy

In this procedure the portion of the disc that is causing nerve compression can effectively be removed through a small incision. With the patient awake, a needle is placed into the area of the disc that is producing symptoms. A small incision is made on the patient’s back and the endoscopic tube is inserted.

Using specially adapted endoscopic instruments the diseased disc material is removed and then a laser vaporizes the surrounding problem tissue. A laser is then used to shrink and remodel the remaining disc. A small loose dressing is used to cover the incision.

Often patients feel immediate relief following this procedure. Rehabilitation begins within hours of surgery, and involves gait training, back or neck support, and walking.