Dr Sandeep Vaishya

DR. SANDEEP VAISHYA

MBBS, MS, MCH (Neurosurgery)
Fellowship Sundt & Mayo Clinic, USA
HOD & Executive Director 

Department of Neurosurgery FMRI

Far Lateral Decompression

Far Lateral Decompression

Far Lateral Decompression

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    Frequently Asked Questions :

    1. What is Far Lateral Decompression surgery?

    Far Lateral Decompression is a minimally invasive surgical procedure designed to relieve pressure on the spinal nerves or spinal cord by removing the structures (like herniated discs or bone spurs) that are compressing them. It is typically performed when conservative treatments, such as medication or physical therapy, have not been effective.

    You may be a good candidate for Far Lateral Decompression surgery if:

    • You are suffering from chronic neck or back pain that radiates to your limbs.
    • You have been diagnosed with conditions like cervical or lumbar radiculopathy (nerve pain) or spinal stenosis.
    • Non-surgical treatments (e.g., medications, physical therapy) have not provided relief.
    • You experience numbness, tingling, or weakness in your arms or legs due to nerve compression.

    The main benefits of Far Lateral Decompression include:

    • Relief from Nerve Compression: The surgery helps alleviate pain, numbness, tingling, and weakness caused by pressure on spinal nerves.
    • Minimally Invasive: It involves smaller incisions, leading to less tissue damage, faster recovery, and reduced post-operative pain.
    • Quick Recovery: Many patients experience significant improvement in their symptoms within a few weeks and can return to normal activities faster than with traditional open surgery.
    Far Lateral Decompression

    Introduction to Far Lateral Decompression

    Far Lateral Decompression is a specialized surgical procedure used to treat conditions that affect the spine, particularly when nerve roots or the spinal cord are compressed. As one of the top neurosurgeons in India, Dr. Sandeep Vaishya offers expertise in performing this complex surgery with excellent outcomes. If you or a loved one is suffering from conditions like cervical or lumbar radiculopathy, this procedure may be a viable solution to relieve pain and restore quality of life.

    What is Far Lateral Decompression?

    Far Lateral Decompression is a minimally invasive surgery aimed at relieving pressure from spinal nerves or the spinal cord by removing or alleviating the bone spurs, herniated discs, or any other abnormal structures compressing these sensitive areas. It is typically performed when other non-invasive treatments, such as physical therapy or medication, have not provided sufficient relief.

    Causes of Nerve Compression Requiring Far Lateral Decompression

    Nerve compression can occur due to several factors, including:

    • Herniated Discs: When the soft cushion between spinal bones bulges out, it can press on nearby nerves.
    • Spinal Stenosis: Narrowing of the spinal canal that puts pressure on the nerves.
    • Bone Spurs: Growths on the vertebrae that can narrow nerve pathways.
    • Degenerative Disc Disease: Age-related wear and tear causing nerve compression.
    • Trauma or Injury: Accidents that result in misalignment or fractures that affect the spinal cord or nerve roots.

    Types of Far Lateral Decompression Surgery

    There are two primary types of Far Lateral Decompression:

    1. Cervical Far Lateral Decompression: This procedure is performed on the neck region (cervical spine) to relieve pressure on the nerve roots that may be causing symptoms like neck pain, radiating arm pain, or weakness.
    2. Lumbar Far Lateral Decompression: This type of surgery is done on the lower back (lumbar spine) to treat sciatica or leg pain caused by compressed nerves.

    Symptoms of Spinal Nerve Compression

    If you are experiencing any of the following symptoms, you may be a candidate for Far Lateral Decompression:

    • Chronic Neck or Back Pain: Persistent discomfort that does not respond to other treatments.
    • Radiating Pain: Pain that travels down the arms or legs.
    • Numbness or Tingling: Sensations of “pins and needles” in the limbs.
    • Weakness: Reduced muscle strength or coordination.
    • Loss of Reflexes: Reflexes that are less responsive than usual.

    These symptoms are often indicative of nerve compression, which can be alleviated by Far Lateral Decompression.

    Diagnosis of Nerve Compression

    Before recommending Far Lateral Decompression, Dr. Sandeep Vaishya will conduct a thorough evaluation, including:

    • Physical Examination: To assess the severity of symptoms.
    • MRI/CT Scan: To get detailed images of the spine and identify the exact location of nerve compression.
    • X-rays: To check for bone abnormalities, such as spinal stenosis or disc degeneration.
    • Electromyography (EMG): To evaluate nerve function and detect any nerve damage.

    These diagnostic tests help in creating a precise treatment plan tailored to your condition.

    Treatment Options for Nerve Compression

    When conservative treatments like physical therapy, medications, or steroid injections do not work, Far Lateral Decompression may be considered. Treatment options include:

    1. Non-Surgical Treatments:
    • Physical Therapy: To strengthen muscles around the spine and improve posture.
    • Medications: Pain relievers, anti-inflammatory drugs, or muscle relaxants.
    • Epidural Steroid Injections: To reduce inflammation and pain around the nerve roots.
    2. Surgical Treatment – Far Lateral Decompression:
    • Minimally Invasive Surgery: Far Lateral Decompression can be performed through a small incision, resulting in shorter recovery time and less post-operative pain.
    • Procedure: The surgeon removes the bone spurs, herniated discs, or other obstructions pressing on the nerves, ensuring minimal disruption to the surrounding tissues.

    Cost of Far Lateral Decompression in India

    The cost of Far Lateral Decompression surgery can vary depending on factors such as the type of procedure, the hospital, and the complexity of the condition. However, India offers some of the most affordable and high-quality healthcare options globally. On average, the cost of Far Lateral Decompression surgery in India can range between:

    • ₹1,00,000 to ₹3,00,000 ($1,200 to $3,600 USD)

    This cost is significantly lower than in many Western countries, while the quality of care remains exceptional.

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