Patient Name : Mr. Khare
Age : 27 years
Introduction
A 27-year-old male with severe left-sided sciatica and neurogenic claudication due to L5–S1 lumbar disc herniation was successfully treated with minimally invasive microdiscectomy. The patient achieved rapid pain relief, full neurological recovery, and early mobilization without the need for spinal implants.
Patient History & Presentation
The patient presented with 1 month of severe left lower-limb radicular pain, aggravated by bending, turning in bed, and standing. He also reported tingling sensations, sleep disturbance, and inability to walk or stand beyond 5 minutes.
Clinical examination revealed a forward-stooped posture, painful lumbar movements, and distal weakness in the left ankle and toe flexors.
MRI Findings
MRI of the dorso-lumbar spine showed:
- Desiccated L5–S1 disc
- Left paracentral disc protrusion
- Compression of traversing nerve roots (left > right)
- Lateral recess and foraminal compromise
These findings clearly correlated with the patient’s symptoms.
Surgical Management
The patient underwent L5–S1 Microdiscectomy using a minimally invasive tubular system under general anesthesia.
Key surgical advantages:
- Small incision
- Minimal muscle damage
- No implants required
- Faster recovery and reduced postoperative pain
Postoperative Outcome
Post-surgery, the patient demonstrated:
- Complete recovery of muscle power
- Significant pain relief
- Independent walking and stair climbing by Day 2
- Healthy surgical wound with no complications
Why Choose Dr. Sangram Rajale for Slip Disc Surgery?
Dr. Rajale specializes in minimally invasive and endoscopic spine surgery, offering patient-specific solutions that prioritize faster recovery and long-term spinal health.
FAQs
Dr. Sangram Rajale is a Pune-based spine surgeon specializing in minimally invasive and endoscopic spine procedures, known for evidence-based and patient-centric care.
The patient had persistent radicular pain, neurological weakness, and MRI-confirmed nerve compression—making surgery the most effective option.
Despite obesity and severe symptoms, surgery was performed without implants using a tubular system, ensuring rapid recovery
Most patients can walk within 24–48 hours, as seen in this case.