Case 3 – Slip Disc Case

• Age/Sex: Around 40-50 years old, both male and female 
• Main Complaints:
• Persistent low back pain 
• Sciatica, sharp, shooting pain radiating down the leg (thigh and calf) 
• Numbness or tingling along the foot 
• Difficulty sitting, standing, or walking for extended periods

• The patient works in an office, but leads an active lifestyle.
• The back pain started lightly but increased in recurring monthly episodes.
• Trying for conservative remedies was tried: Physiotherapy, pain reliever, 50% relief offered, but symptoms keep returning.

• Clinical exam and imaging (X-ray, MRI) revealed a herniated (slipped) disc at L5‑S1, pressing on the existing nerve root. 
• Findings included reduced reflexes and sensory changes in the affected leg.

Goal: relieve nerve compression with minimal tissue disruption.

Procedure Highlights:

1. Under general or spinal anesthesia, the patient lies face-down.

2. A small (≈1.5 cm) incision is made over the spine.

3. Using a microscope or endoscope, the surgeon removes the herniated disc portion and relieves pressure on the nerve.
4. The incision is closed with few stitches.

• Performed via micro endoscopic spine surgery—a keyhole approach with camera and instruments. 
• Surgeon views magnified images, gently removes disc fragments compressing the nerve, and ensures normal nerve glide.
• Because it’s minimally invasive, no extended bed rest is needed post-op.

• Many patients go home on the same day or next.

• Quick return to daily life—often back to work within a few days.

• Post-op recommendations include:

• Gradual movement and light activity

• Physiotherapy focusing on posture, core strengthening, and flexibility

• Avoiding heavy lifting or twisting for 4–6 weeks

• Rapid pain relief, especially for leg symptoms
  
• Short recovery time, much quicker than traditional open surgery
• Lower risk of complications due to the small incision and precise technique

A middle-aged patient with a herniated disc at the base of their spine underwent a microendoscopic discectomy, a safe, precise procedure that removes the painful disc fragment. With a small incision and focused technique, the nerve is freed, pain subsides quickly, and recovery is fast. Most patients are walking and back to routine activities within days.

WATCH FULL CASE