(This is the section that explains the detail of the operation or procedure above and should be read in conjunction with the section called your back operation).
A lumbar disc nucleoplasty is performed for a pain that is caused by damaged intervertebral discs. The aim of the procedure is to reduce inflammation inside the disc as well as reduce pressure on the small nerves that are found in the annulus fibrosus. This is done by shrinking the nucleus pulposus. The modality used for this is the same as in radiofrequency rhizotomies, but a different generator is generally used and a thicker needle.
The reason that your surgeon performs this procedure and not a larger operation is because he or she is trying to be as conservative as possible in doing your surgery. The aim is to treat your symptoms without resorting to large open operation. Consult a surgeon that is proficient in these techniques as well as the usual open surgery techniques.
When undergoing this procedure, you will be lying on your stomach on bolsters or pillows during your procedure. Your surgeon will use a X-ray machine to guide the needles that is used to do the procedures with. A very thin electrode is inserted through the needle and the nucleus of the disc is treated by radiofrequency generated by a radiofrequency generator. The treatment is called coblation therapy and is based on the fact that the disc material is changed on a molecular level into gases that escape at the back of the needle.
Ward care
You may sometimes have a bit of discomfort directly following the procedure, but this will clear up very soon. You will be allowed to move around freely following your procedure.
Discharge
This procedure is usually performed as a day procedure, although in some cases patients may sleep over.
Rehabilitation
It is incredibly important to get a lot of rest and exercise following your surgery. It is frequently useful to supplement your treatment with physiotherapy and local treatment such as massage therapy and chiropractic treatment.
Follow up
You will usually be seen after six weeks but will be seen earlier if there are any complications. It is important to realise that you will have to protect your back the rest of your life with good back habits. See the section on exercises to see what you can do to keep your back healthy.
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