A new herniated disc – recurrence

What is a recurrent herniated disc?

Approximately 480,000 surgical interventions on the lumbar spine are performed annually in the USA – to treat herniated discs. The majority of patients subsequently report excellent results. But the 10-15% of those who were been successfully operated, face the so-called re-prolapse. People that face a new disc hernia feel pain despite the previous surgery. Patients and surgeons are disappointed by recurrence because their intervention has not brought any lasting improvement. Recurrences do not arise due to wrong behavior of patients or a wrong surgical technique; they exist because of progressive degeneration and the still opened crack of the fiber ring which causes a renewed herniated disc. The fiber ring tear is a kind of "gate" through which disc tissue can emerge again.

Herniated disc recurrence - treatment

To prevent the onset of recurrence, some surgeons start to operate more aggressively - instead of just removing the protruding disc tissue that presses on the nerves, they take out the entire disc. What is the problem here? If the intervertebral disc is missing, this accelerates the degeneration of the adjacent vertebral edges. In the long term, this surgical approach often causes a significant deterioration and later further interventions and in the worst case, a spinal fusion.

Although doctors have known this problem for years, they always try to solve it by inserting a titanium implant to close the gap of the fibrous annulus, thus risking not only to damage the nerves but also - given the consequential creation of shadows - the quality of the MRI images.

Dr. med. Munther Sabarini

Dr. med. Munther Sabarini
Specialist in Neurosurgery

Hans-Heinrich Reichelt

Hans-Heinrich Reichelt
Chief Editor of Medizin für Menschen

The Avicenna Clinic in Berlin is always willing to help you

Since the year 2001, the Avicenna Clinic is based in Berlin. Our doctors have at least 25 years of international experience in their respective fields (neurosurgery, spinal surgery, anesthesia, and orthopedics).

If you have severe back pain, a herniated disc or a suspected herniation, please contact us using the following information:

Avicenna Clinic
Paulsborner Str. 2
10709 Berlin

Telephone: +49 30 236 08 30
Fax: +49 30 236 08 33 11
E-Mail: info@avicenna-klinik.de

You can call anytime, write an e-mail or fill out a callback form. Each patient then gets an appointment with a doctor of our clinic, who is a spine specialist (neurosurgeon). Based on MRI images (brought or made in our clinic) and on an in-depth examination, the doctor will discuss with you all the different therapy options or possibly surgery. You can also use our specialists only to obtain a (second) opinion.

If you decide to undertake your therapy and/or surgery in Berlin, we would want to make your stay as pleasant as possible. In our clinic, you are at the center of our attention! You can expect state-of-the-art equipment in all areas - from the operating room to the patient bedroom.

The latest, gentle, minimally invasive treatment procedures are the focus of our clinic. Together we try to find a suitable treatment for your complaints. The actual therapy takes place only after a detailed discussion with the patient, examinations and the diagnostics.

For us, as important as medical care, it is the commitment we take to guarantee our patients a high level of personal care that can, in turn, ensure them a comfortable stay.

During the period of inpatient stay our team of nurses will take care of you 24 hours a day. They also offer services in several foreign languages, including English, Russian, Polish, Turkish, Spanish, Italian, Arabic, Bulgarian and French. We care not only about your safety but also your needs, respecting traditions and religions.

Our team is made up of a group of highly qualified specialists who work together to guarantee you a quick recovery.