Non-Surgical Lumbar Hernia Treatment with Nucleoplasty

With non-surgical lumbar hernia treatment via nucleoplasty, eligible patients can be treated without the need for surgery. This minimally invasive procedure reduces disc pressure, eliminates nerve compression, and provides quick recovery.

Lumbar disc herniation occurs when the outer layer of spinal discs is damaged due to degeneration or trauma, causing the inner core to press on the nerve roots. This leads to symptoms such as severe pain radiating from the lower back to the legs, numbness, tingling, and muscle weakness.

What is Nucleoplasty?

Nucleoplasty is a procedure where a thin needle is inserted into the spinal disc and a portion of the disc is vaporized using radiofrequency energy or plasma technology.

• The procedure is performed under local anesthesia.
• By reducing the internal pressure of the disc, compression on the nerve root is relieved.
• The average procedure time is 20–30 minutes.
• Same-day discharge is usually possible.

Steps of the Nucleoplasty Procedure

The procedure involves the following steps:

1. Preparation: The patient is evaluated with MRI and physical examination before the procedure.
2. Local Anesthesia: Only the entry site is numbed.
3. Imaging Guidance: Access to the disc is achieved with fluoroscopy (X-ray) or CT.
4. Energy Application: A portion of the disc tissue is vaporized using a specialized device.
5. Discharge: The patient can return home after 1–2 hours of observation.

What Are the Advantages of Nucleoplasty?

Nucleoplasty offers the following benefits:

• No surgical incision is required.
• No need for general anesthesia.
• Short recovery time.
• Low risk of infection and complications.
• Return to normal daily activities is possible on the same day.

When Is It Indicated?

The treatment is suitable in the following cases:

• Moderate lumbar disc herniation
• Persistent pain despite medication and physical therapy
• Moderate nerve root compression
• Disc herniations that are not severe enough to require surgery

Who Is Not a Suitable Candidate?

The following patients are not considered suitable for the procedure:

• Those with severe nerve compression
• Patients with developed paralysis
• Patients with spinal instability
• Patients with severe spinal canal stenosis

What Is the Recovery Process After Nucleoplasty?

Most patients experience noticeable pain relief within a few days after the procedure. However, full recovery may take 2–4 weeks. After the procedure, heavy lifting should be avoided, and exercises that protect spinal health should be initiated.