Microdiscectomy

Ideal candidates experience radiating leg pain (sciatica) more severe than back pain, caused by a confirmed herniated disc compressing a nerve root, with symptoms persisting despite at least 6-12 weeks of conservative treatment. Surgery may be considered sooner if there is progressive neurological deficit like worsening leg weakness or bladder problems.

Microdiscectomy has an initial success rate of approximately 91% at 6 months, remaining strong at 83% after 10 years. However, reherniation occurs in 5-15% of cases, with most recurrences at the same level. Key risk factors for recurrence include smoking, diabetes, obesity, and severe disc degeneration.

Request your MRI and CT scans in DICOM format — the universal standard for medical imaging. Most hospitals can provide these on a CD, USB drive, or through a secure patient portal. Cloud-based DICOM sharing platforms allow you to upload and share studies securely with any provider worldwide.

Most spine surgeons recommend staying near the hospital for 7-10 days after microdiscectomy, with at least one follow-up visit to check the incision and confirm nerve recovery is progressing. Airlines typically allow flying 7-14 days after minimally invasive spine surgery. For the flight home, request an aisle seat so you can stand and walk periodically, and bring a small lumbar support cushion.

Before traveling, identify a local physiotherapist experienced in post-surgical spine rehabilitation. Request a detailed rehabilitation protocol from your overseas surgeon specifying the timeline, exercise progression, and any restrictions. Most international spine centers provide English-language rehab protocols specifically designed for patients continuing care at home. Schedule your first local physiotherapy appointment for 2-3 weeks after surgery.