Microdiscectomy: small procedure,BIG results. Microdiscectomy: small procedure,BIG results. Microdiscectomy: small procedure,BIG results. About The Surgeon Microdiscectomy is a highly successful surgical procedure for treatment of symptomatic lumbar disc herniations and sciatica. This minimally invasive procedure uses a very small incision to safely remove herniated disc fragments that are compressing and inflaming nerve roots within the lumbar spine. Microdiscectomy is also sometimes called Microscopic Discectomy, or Laminotomy Discectomy. WHEN TO CONSIDER MICRODISCECTOMY Microdiscectomy is appropriately considered in cases of radiating buttock, thigh, and leg pain (sciatica) that has not responded to a trial of basic conservative care. A more urgent indication arises in cases of significant muscle weakness in the legs, such as a “drop foot”. A very rare indication for microdiscectomy occurs in cases of “cauda equina syndrome” when a large lumbar disc herniation can cause urinary retention, urinary incontinence, or fecal incontinence. This is a very rare condition, but which should result in immediate travel to the nearest emergency room. RESULTS The results of microdiscectomy are statistically excellent. Microdiscectomy is particularly successful at relieving sciatica and radiating leg pain. It is common for patients to report a dramatic reduction of their leg pain soon after surgery, with additional improvement occurring during the post-operative period. Symptoms of numbness, leg weakness, and back pain are somewhat less predictable, and take longer to resolve, but are also commonly improved following surgery. The excellent results of microdiscectomy have been rigorously tested and proven in multiple scientific studies. ABOUT MARK NELSON, MD Mark Nelson, MD is a board-certified, fellowship-trained orthopedic spine surgeon practicing in San Diego and Temecula California since 2003. He specializes in treating lumbar disc herniations, microdiscectomy, and related conditions and surgical procedures of the spine. A consultation with Dr. Nelson is an excellent opportunity to better understand your condition, and your treatment options. Please call (858) 777-7917to schedule a consultation.