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Yes. A damaged disc can be replaced with the help of Artificial Disc Replacement (ADR), also known as Total Disc Replacement (TDR). ADR is an effective treatment for alleviating pain, tingling sensations, and mobility loss caused by degenerative or herniated discs. Our skilled surgeons at OLSS specialize in cervical disc replacement, a surgical procedure that involves removing the damaged disc and replacing it with an artificial one. Compared to traditional spinal fusion surgery, ADR can offer better flexibility and movement, which is beneficial for patients. However, not all patients with low back pain are suitable candidates for disc replacement surgery. Our team of NJ Spine and Orthopedic doctors will conduct thorough tests to determine if ADR is the appropriate procedure for your condition. At OLSS, our focus is on providing personalized care and utilizing advanced technology to achieve the best possible outcomes for our patients.

Transforaminal lumbar interbody fusion (TLIF) is a surgical procedure aimed at stabilizing the vertebrae and the intervertebral disc or shock absorber between them. This procedure involves approaching the lumbar disc from the posterior and removing the damaged disc material. By doing so, solid bone is created between the adjoining vertebrae, which eliminates any movement between the bones. TLIF is typically recommended for patients who want to alleviate pain and nerve irritation.

During the TLIF surgery, an “interbody” bone graft is inserted between two vertebrae to fuse the area and provide stabilization of the spine. This procedure is commonly recommended for conditions such as spondylolisthesis, degenerative disc disease, or recurrent disc herniations.

Coccyx surgery, also known as Coccygectomy, involves the removal of the tailbone and is typically performed to alleviate pain in the tailbone region, known as coccydynia. This surgery is recommended for patients who have exhausted conservative treatment options such as rest, painkillers, physiotherapy, and steroid injections without success. In other words, candidates for coccyx surgery are those who continue to suffer from severe or chronic tailbone pain despite undergoing other treatments.

The ideal candidates for coccyx surgery include those who have increased mobility in their tailbone, experienced a change in shape to their tailbone, have a small bone spur at the end of their tailbone, have had a positive response to other injection treatments, or experience a fluid-filled sac at the joint above the tailbone. At OLSS, our spine and orthopedic surgeons have extensive experience in providing permanent relief from severe tailbone pain. If you are experiencing tailbone pain and have not found relief from other treatments, schedule a consultation with our team to determine if coccyx surgery is right for you.

The S.I. Fix Implant is a medical device used for Sacroiliac joint fusion, a surgical treatment for sacroiliac joint pain resulting from minor joint instability and degenerative sacroiliitis. The implant is designed to provide immediate stabilization to the sacroiliac joint while promoting long-term fusion. During the procedure, a bone graft and/or instruments are used to stimulate bone growth over the sacroiliac joint to create a single, immobile unit.

Compared to other fusion techniques, the S.I. Fix Implant involves minimal midline skin incisions and a minimally disruptive technique that reduces operative time, tissue trauma, and post-operative pain. Patients who undergo minimally invasive spine surgery, on average, experience a shorter hospital stay and less postoperative pain compared to traditional surgery. However, recovery times can vary depending on the specifics of each procedure. At OLSS, our surgeons are experienced in performing sacroiliac joint fusion and can determine if the S.I. Fix Implant is the right treatment option for each individual patient.

Minimally invasive spine (MIS) surgery is an effective way to stabilize the vertebral bones and spinal joints and relieve pressure on spinal nerves, resulting in reduced back pain. However, recovery can temporarily impact your daily life, including work. If you have undergone this surgery, you might be wondering when you can return to work.

The decision to return to work should be based on each patient’s unique circumstances and occupation. Patients with sedentary jobs, such as office work, may be able to resume part-time work within 1-2 weeks after a minimally invasive discectomy. For more complex procedures like fusion surgery, returning to work may take 4-6 weeks. While minimally invasive surgery facilitates faster recovery compared to traditional open surgery, the decision to return to work should be made based on each patient’s specific needs.

Wearing a back brace can be a helpful way to alleviate back pain and maintain proper posture, especially during activities such as working or exercising. However, it is not typically required for treatment. Advanced minimally invasive techniques and specialized implants can provide internal bracing, allowing patients to avoid the need for an external brace. Additionally, wearing a brace for too long can lead to muscle weakness and dependence on the brace. Therefore, if a brace is recommended, it’s usually for a short period. Most patients experience pain relief for around 1-2 weeks, and after that, the brace may only be worn as needed.

Physical therapy is a crucial aspect of the recovery process following minimally invasive spine surgery. Despite common misconceptions, it is essential to ensure that your muscles and spine are functioning correctly after the surgery. Physical therapy can optimize short and long-term results, reducing the chances of recurrence. The type and duration of physical therapy will vary according to individual needs. In most cases, physical therapy begins 2-6 weeks after the surgery, depending on the specific procedure and the patient’s overall health. Each patient recovers at their own pace, and working with a trained specialist can help hasten the process of returning to your daily routine.

It is natural to have concerns about pain management after surgery and the potential risks associated with pain medication. Your doctor can help you choose the most suitable medication for your situation. Typically, patients are given Tylenol and anti-inflammatory medications after surgery, but prescription pain medication may also be necessary, particularly within the first 48-72 hours after surgery.

Besides medication, there are other ways to manage pain after surgery. For instance, ice or heat applications may help alleviate discomfort or soreness. Ultimately, you and your surgeon will decide on the most appropriate pain management strategy for you after surgery. Post-surgery, you will be closely monitored to ensure your comfort and safety. Any necessary adjustments or modifications to your pain management plan will be made accordingly.