Case 3 – Slip Disc Case
Patient Snapshot
- 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
Medical Journey
- 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.
Diagnosis & Exam Findings

- 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.
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Treatment Plan – Minimally Invasive Discectomy
Goal: relieve nerve compression with minimal tissue disruption.
Procedure Highlights:
- Under general or spinal anesthesia, the patient lies face-down.
- A small (≈1.5 cm) incision is made over the spine.
- Using a microscope or endoscope, the surgeon removes the herniated disc portion and relieves pressure on the nerve.
- The incision is closed with few stitches.
Surgery in Detail
- 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.
Recovery & Aftercare
- 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
Benefits & Outcomes
- 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
Summary
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.