Gabor’s herniated disc surgery – a case study

I would like to present with the permission of my patient – an interesting yet edifying case in many aspects.

Gabor approached me after three years of chronic back pain, by the time he had three bulged discs on his thoracic spine. (Diagnosed by MRI test).

On our first meeting he was already scheduled for a surgery two months ahead and he was searching for alternative solutions prior the operation. Among the three herniated discs the surgery targeted the removal of the most deformed disc with a replacement of a rigid metal sustainer of the spinal gap.

At the same time during the operation it was targeted the treatment of the two other herniated discs as well.

The case raised my special attention because the herniation was developed on the thoracic part of the vertebral column, and being very rare, I haven’t had the opportunity to meet this before. 75-80% of disc herniation is formed on the lumbar part of the column and approximately 20% on the cervical part, the thoracic area being affected very rarely.

Gabor came for treatment 2-3 times a week, doing the home exercises regularly, so working hard for his recovery.

On the MRI test below you will see the status of the disc before the treatment:
gerinc02mod

 

His severe back pain released considerably during the treatments, but it didn’t stop. Right before the surgery he had another MRI test, where it is clearly visible that the two smaller bulging area decreased, but the biggest didn’t move at all. But why?

The outcome was that the surgeon suggested the removal of one disc only, which Gabor agreed on. During the operation the hypothesis was proved that the biggest and oldest herniated disc become sclerous, in other words the elasticity of the vertebral ring was lost, being ossify, that is why it couldn’t respond to the therapy. The bulging disc slipped into the spinal canal was pressing the spinal nerves so, the surgery was unavoidable and reasonable. But two discs out of these three could skip the operation!

The X-ray taken after the surgery shows the clearly visible screwed metal bars as well as the cage within the vertebral centrum (three small sticks in the center). The latter one is similar to the plastic spacer placed in the pizza boxes)

gerinc01

Two years passed since then, one year with a tough rehabilitation process followed by the daily “home-work”: exercising and swimming. In the beginning of the ossification the spacer between the discs starts to become scaly, the sclerous part becomes thicker and thicker. At the final stage the two vertebrae coadunate. Then the metal bars can be removed – but this implies a new operation – so if there is no harm – it can even stay.

So this was Gabor’s herniated disc case, which proves that a bulged disc can be well treated with Yumeiho therapy, there are cases when the surgery is recommended indeed and the home exercises will increase the efficiency of the treatment.