Same-Day Endoscopic Discectomy in Hyderabad — Case Story
A de-identified patient success story
Case Narrative (De-identified)
Chief Concern
A mid-40s office professional with 6 weeks of severe left leg pain, numbness in foot, and night pain. Unable to sit >10 minutes despite pain meds and physiotherapy.
Assessment
Positive straight leg raise at 30°, mild dorsiflexion weakness. No bowel/bladder symptoms.
Imaging & Tests
MRI lumbar spine showed a left paracentral L5–S1 disc herniation contacting the S1 nerve root. No instability on flexion-extension X-rays.
Shared Decision-Making
Conservative care had failed; options discussed were microdiscectomy vs full endoscopic discectomy. Patient prioritized minimal muscle disruption and faster return to desk work; elected endoscopic discectomy.
Procedure
Full endoscopic lumbar discectomy via an 8–10 mm working portal under general anesthesia with fluoroscopic guidance. Herniated fragment removed; nerve decompressed.
Hospital Course
Ambulated 3 hours post-op; pain controlled with oral meds. Same-day discharge with wound care instructions.
Recovery Timeline
- ✓Day 1–3: Short walks at home; pain 3/10
- ✓Week 1: Driving short distances
- ✓Week 2: Returned to desk work with frequent breaks
- ✓Week 6: Walking 30–40 minutes without leg pain
Outcome
Leg pain resolved; mild intermittent low-back ache managed with core-strengthening exercises. No wound issues.
Patient Reflections
"Quick relief and early return to work were most important for me. Understanding the MRI and plan helped."
Key Takeaways
Early relief is common for leg pain; back comfort improves with rehab. Not every patient is a candidate for endoscopic surgery; imaging and exam guide decisions.
Frequently Asked Questions
Is endoscopic discectomy always better than open surgery?
No. We choose the safest option for your anatomy and goals.
Can pain return?
Reherniation risk exists (typically 5–10%). Following the rehab plan reduces risk.
When can I fly?
Often after 2–3 weeks for uncomplicated cases, if comfortable and mobile.
Schedule Your Spine Consultation
Discuss your spine condition with Dr. Sayuj Krishnan
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 15 January 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.