Herniated Discs: Treatment Options and Surgery Risks - Neurosurgery

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Hello! Thank you for your questions regarding herniated discs and the associated treatment options and risks. I understand that your boyfriend has been diagnosed with a herniated disc, and he is experiencing symptoms such as numbness and fatigue in his legs. Let's address your questions one by one.

1. Can a herniated disc be treated without surgery?
Yes, many cases of herniated discs can be managed without surgery. Non-surgical treatment options include physical therapy, pain management with medications (such as NSAIDs or muscle relaxants), and lifestyle modifications like exercise and weight management. In fact, many patients experience significant improvement with conservative treatment. Surgery is typically considered when conservative measures fail, or if there are severe symptoms such as significant weakness, loss of bowel or bladder control, or persistent pain that affects daily life.

2. Should surgery be done early?
The timing of surgery depends on the severity of symptoms and the patient's overall condition. If your boyfriend's symptoms are manageable and improving with conservative treatment, there may be no immediate need for surgery. However, if he experiences worsening symptoms or significant functional impairment, surgical intervention may be warranted. It’s essential to have regular follow-ups with a healthcare provider to monitor his condition.

3. Does National Taiwan University Hospital offer microsurgery for nerve issues?
Yes, National Taiwan University Hospital (NTUH) is known for its advanced surgical techniques, including microsurgery for spinal issues. They have experienced neurosurgeons who specialize in minimally invasive procedures, which can reduce recovery time and improve outcomes.

4. Are there risks associated with microsurgery?
Like any surgical procedure, microsurgery carries risks, including infection, bleeding, nerve damage, and complications related to anesthesia. However, the risks are generally lower with microsurgery compared to traditional open surgery due to smaller incisions and less tissue disruption. It’s important to discuss these risks with the surgeon, who can provide a more personalized assessment based on your boyfriend's specific condition.

5. What is the approximate cost of surgery in Taiwan?
The cost of surgery can vary widely depending on the type of procedure, the hospital, and whether the patient is covered by health insurance. For a herniated disc surgery, costs can range from approximately NT$100,000 to NT$300,000 (around USD 3,300 to USD 10,000) or more, depending on the complexity of the case and the length of hospital stay. It’s advisable to check with the hospital for a detailed estimate and inquire about insurance coverage.

6. Will there be minimal long-term side effects?
Many patients experience significant relief from symptoms after surgery, and the long-term outcomes are generally favorable. However, some patients may experience residual pain or discomfort, and there is a possibility of re-herniation or degeneration of adjacent discs over time. The likelihood of long-term side effects can be minimized by following post-operative care instructions and engaging in a proper rehabilitation program.

In conclusion, while surgery can be an effective option for herniated discs, it is not always necessary. Conservative treatment should be the first line of action, and surgery should be considered based on the severity of symptoms and the patient's overall health. It’s crucial for your boyfriend to maintain open communication with his healthcare providers to make informed decisions about his treatment plan. Thank you for reaching out, and I wish your boyfriend a smooth recovery!