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Initially, treatment is based on taking pain and anti-inflammatory medication, as well as counseling on posture, with or without the use of physical therapy. In the most persistent cases, an injection of corticosteroids may be offered. Pain often disappears on its own after several months.
Surgery is urgently indicated in the following cases:
The Neurosurgery Division will send you a document to inform you about admission procedures for the division. You will also be scheduled for a pre-hospitalization consultation where you will see an anesthetist, a Resident in the Neurosurgery Division and a specialized nurse.
In the operating room, you will be positioned to lie on your stomach. The physician will carry out a radiological exam to precisely locate the area of the herniated disc. After making a cutaneous incision a few centimeters long, the neurosurgeon will remove the hernia and possibly part of the disc.
It may be necessary to insert a small hose (drain or Redon) in the area of the incision to allow the flow of blood. This hose causes no pain and will usually be removed after 48 hours.
You will be monitored closely and treated in the recovery room before being transferred to your room. The health care team will answer your questions, and coordinate and provide care related to your health condition.
It is possible that you will be discharged as early as the second day after the operation at 11 a.m. It is preferable that one of your family members be present for your return home. They can also accompany you over the next few days to your appointments.
Depending on your health status, the doctor may prescribe a home carer (for cleaning, meals, etc.) in collaboration with the Geneva Home Assistance Institution (Institution genevoise de maintien à domicile (imad))