If Workers Compensation Lumbar Disc Herniation symptoms persist despite all nonsurgical treatment, surgery may be recommended. However, if signs appear that pressure is building on the spinal nerves, surgery may be required, sometimes right away. But in the typical case, surgery is considered only after conservative treatment such as rest, physical therapy, and injections. In Wisconsin, comp benefits called TTD are due while off for surgery and recovery.
Surgical treatments for lumbar disc herniation include:
laminotomy and discectomy
posterior lumbar fusion
Lumbar Disc Herniation
Laminotomy and Discectomy
The lamina forms a roof-like structure over the back of the spinal canal. In this procedure, a thumbnail-sized piece of the lamina is removed (laminotomy) so the surgeon can more easily take out the problem disc (discectomy). This procedure is mainly used when the herniated disc is putting pressure on a nerve and causing pain to spread down one leg.
Microdiscectomy is becoming the standard surgery for lumbar disc herniation. The procedure is used when a herniated disc is putting pressure on a nerve root. It involves carefully taking out part of the problem disc (discectomy). By performing the operation with a surgical microscope, the surgeon only needs to make a very small incision in the low back. Categorized as minimally invasive surgery, this surgery is thought to be less taxing on patients. Advocates also believe that this type of surgery is easier to perform, that it prevents scarring around the nerves and joints, and that it helps patients recover more quickly.
Posterior Lumbar Fusion
Lumbar disc herniation causes mechanical pain, the type of pain caused by wear and tear in the parts of the lumbar spine. Fusion surgery is mainly used to stop movement of the painful area by joining two or more vertebrae into one solid bone. This keeps the bones and joints from moving, easing mechanical pain. In posterior lumbar fusion, the surgeon lays small grafts of bone over the problem area on the back of the spinal column. Most surgeons will also apply metal plates and screws to prevent the problem vertebrae from moving. This protects the graft so it can heal better and faster.
An attorney should not advise whether an injured should have surgery, or any medical procedure or treatment. Surgery is a decision for the injured worker and his or her doctors. The attorney should give legal advice on the legal options under workers compensation law with or without surgery. The workers compensation attorneys at McCormick Law in Milwaukee, Wisconsin provide successful legal representation to injured employees. The workers comp benefits for Workers Compensation Lumbar Disc Herniation are based on work-related injury and extent of disability.