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How to Prevent Disc Reherniation

    

9.13 - How to Prevent Disc Reherniation
Disc herniation is a common condition that affects many people, leading to pain, discomfort, and sometimes surgery. Unfortunately, the relief that comes with herniated disc treatment, such as a discectomy, a surgical procedure to remove the herniated portion of the disc, can be temporary if reherniation occurs. Preventing disc reherniation is crucial for maintaining long-term spine health and avoiding further complications. In this article, you will learn about the best practices, exercises, and lifestyle changes you can adopt to minimize the risk of disc reherniation and ensure a healthy spine.

Understanding Disc Reherniation

Disc reherniation occurs when the disc that was previously operated on herniates again. This can happen due to various factors, including:

  • Incomplete healing of the initial herniation
  • Continued degeneration of the disc
  • Repetitive stress on the affected area
  • Poor posture and body mechanics
  • Lack of proper rehabilitation after the initial injury

The risk of reherniation is higher within the first few months after surgery but can occur at any time. The symptoms of reherniation are similar to the initial herniation, including pain (especially low back pain, if a lumbar disc is affected), numbness, and weakness in the affected area.

Post-Surgery Care: The Foundation of Prevention

The period immediately following surgery is critical for preventing disc reherniation. Proper post-surgery care sets the foundation for long-term recovery and spine health.

  • Follow your surgeon’s instructions – Adhering to your surgeon’s postoperative instructions is essential. This includes taking prescribed medications, attending follow-up appointments, and avoiding activities that could strain your spine.
  • Rest and gradually increase activity – Rest is vital in the initial recovery phase, but complete inactivity can also be harmful. Gradually reintroduce activities as recommended by your healthcare provider. Start with short, gentle walks to promote circulation without overloading your spine.
  • Wear a back brace – If recommended, wearing a back brace can provide additional support to your spine during the healing process. However, avoid overreliance on the brace, as your muscles need to strengthen naturally.

The Importance of Core Strengthening

The core muscles play a significant role in supporting the spine and preventing disc reherniation. A strong core stabilizes the lower back and reduces the strain on discs.

  • Start with gentle exercises – Begin with gentle core-strengthening exercises approved by your physical therapist. Exercises like pelvic tilts, bridges, and gentle abdominal contractions can rebuild core strength without putting too much pressure on your spine.
  • Progress to more advanced exercises – As your core strength improves, you can gradually incorporate more challenging exercises, such as planks and leg raises. Always ensure your form is correct to avoid unnecessary strain on your back.
  • Remember consistency is key – Consistent exercise is crucial for maintaining core strength. Aim to incorporate core-strengthening exercises into your routine at least three to four times a week.

Proper Body Mechanics: Protecting the Spine in Daily Activities

How you move and use your body in daily activities can significantly impact spine health. Practicing proper body mechanics distributes the load evenly across the spine, reducing the risk of reherniation.

  • Lift objects safely – When lifting objects, always bend at your knees and hips, not your waist. Keep the object close to your body, and use your legs to lift rather than your back. Avoid twisting your body while lifting.
  • Maintain good posture – Whether sitting, standing, or walking, maintaining good posture is essential. Keep your back straight and shoulders relaxed, and avoid slouching. If you work at a desk, ensure your workstation is ergonomically designed to support your posture.
  • Avoid prolonged sitting or standing – Prolonged sitting or standing can place excessive pressure on the spine. Take breaks to move around, stretch, and change positions frequently throughout the day.

The Role of Weight Management and Diet

Maintaining a healthy weight and a balanced diet plays a crucial role in preventing disc reherniation. Excess weight, especially around the abdomen, increases the strain on the spine and can lead to additional complications.

  • Maintain a healthy weight – Carrying extra weight, particularly around the midsection, puts added pressure on the spine and discs. Adopting a healthy diet and regular exercise routine can help you achieve and maintain a healthy weight, reducing the risk of reherniation.
  • Anti-inflammatory diet – A diet rich in anti-inflammatory foods can promote healing and reduce the risk of disc reherniation. Incorporate foods like leafy greens, fatty fish, nuts, seeds, and fruits like berries into your diet. Avoid processed foods, sugary snacks, and excessive alcohol, which can contribute to inflammation.
  • Stay hydrated – Proper hydration is vital for maintaining the health of your spinal discs. Discs are made up of a significant amount of water, and staying hydrated ensures they remain pliable and function optimally.

Physical Therapy and Regular Check-Ups

Ongoing physical therapy and regular check-ups with your healthcare provider are essential components of preventing disc reherniation.

  • Attend physical therapy sessions – Physical therapy is often recommended after surgery to help you regain strength and flexibility. A physical therapist can guide you through exercises that strengthen your back and core while teaching you how to move safely.
  • Have regular check-ups with your surgeon – Keep up with regular check-ups with your surgeon or healthcare provider to monitor your recovery progress. The doctor can identify potential issues early on and adjust your recovery plan if needed.
  • Listen to your body – Pay attention to any signs of discomfort or pain. If you experience symptoms similar to those before your surgery, contact your healthcare provider immediately. Early intervention can prevent a minor issue from becoming a significant problem.

Mental Health and Stress Management

Stress and mental health play an often-overlooked role in spine health. High stress levels can lead to muscle tension and poor posture, increasing the risk of disc reherniation.

  • Practice stress-relief techniques – Incorporate stress-relief techniques such as deep breathing exercises, meditation, or yoga into your daily routine. These practices can reduce muscle tension and promote relaxation, supporting overall spine health.
  • Get adequate sleep – High-quality sleep is essential for healing and maintaining spine health. Ensure you get enough rest each night, and consider using a supportive mattress and pillows to keep your spine aligned.
  • Seek support if needed – If you are struggling with anxiety, depression, or stress, do not hesitate to seek professional help. Managing mental health is a vital part of the overall recovery process.

Preventing disc reherniation requires a multifaceted approach that includes proper post-surgery care, consistent core strengthening, practicing good body mechanics, maintaining a healthy weight, and managing stress. By adopting these strategies, you can significantly reduce the risk of reherniation and enjoy a healthy, active life. Remember, consistency and awareness of your body’s needs are key to maintaining long-term spine health. If you ever feel uncertain about your recovery or experience new symptoms, consult your healthcare provider immediately for guidance.

Even though discectomy surgery is a common and generally quite successful procedure, a hole is frequently left in the outer wall of the disc. In fact, patients with these large holes in their discs are more than twice as likely to reherniate. Reherniations often require additional surgery or even fusions. Fortunately, there is a new treatment specifically designed to close the large holes that are often left in spinal discs after discectomy surgery. Barricaid is a bone-anchored device proven to reduce reherniations, and 95 percent of Barricaid patients did not undergo a reoperation due to reherniation in a 2-year study timeframe. This treatment is done immediately following the discectomy—during the same operation—and does not require any additional incisions or time in the hospital. 

If you have any questions about the Barricaid treatment or how to get access to Barricaid, ask your doctor or contact us directly.

For full benefit/risk information, please visit: https://www.barricaid.com/instructions.

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