Herniated discs are not only experienced by older adults—young people can suffer from them too. This condition requires prompt treatment, as it can cause disturbing symptoms and significantly reduce quality of life.
Recently, a young patient visited Mandaya Royal Hospital Puri with a complex herniated disc condition accompanied by Cauda Equina Syndrome. The patient was treated by a neurosurgeon specializing in minimally invasive procedures for herniated discs, dr. Christian Permana, Sp.BS, FTB, FINSS, FICS.
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Initial Symptoms and Cauda Equina Syndrome Diagnosis
The 23-year-old patient initially experienced a pulling pain on the left side of the lower back, which gradually spread to the tailbone, buttocks, and legs. The symptoms worsened when persistent numbness appeared, even affecting urinary and bowel function due to muscle control difficulties.
After undergoing an MRI at Mandaya Royal Hospital Puri, it was found that a spinal disc at the L4-L5 level was bulging. A more severe condition was identified at L5-S1, where the disc had ruptured and was pressing heavily on the nerves.
The diagnosis confirmed Cauda Equina Syndrome, a medical emergency in herniated disc cases that requires immediate treatment.
Monoportal Endoscopic Lumbar Decompression at Mandaya Royal Hospital Puri
The medical team performed emergency surgery using the Monoportal Endoscopic Lumbar Decompression method. This procedure requires only a small 1 cm incision, minimizing pain and allowing for faster recovery.
In this case, surgery was performed on two nerve levels simultaneously while still maintaining small incision sizes.
Post-Surgery Recovery Process
The surgery resulted in significant improvement. The patient no longer experienced lower back pain, the pulling sensation disappeared, and numbness in the legs gradually improved each day. Additional therapy was provided to help restore muscle function, particularly for urinary and bowel control.
During recovery, the patient felt supported by dr. Christian, who regularly visited and explained the medical condition in detail. This education helped the patient and family feel more at ease and understand the healing process thoroughly.
The patient advises anyone experiencing discomfort in the lower back, spine, or legs to consult a doctor immediately. Delaying treatment can worsen the condition. Prompt care, like the treatment received at Mandaya Royal Hospital Puri, is key to successful recovery in emergency cases of herniated discs such as Cauda Equina Syndrome.
Profile and Schedule of dr. Christian, Neurosurgeon Specialized in Herniated Discs
dr. Christian is a neurosurgeon skilled in various minimally invasive techniques for treating herniated discs.
In addition to Monoportal Endoscopic Lumbar Decompression, dr. Christian performs other minimally invasive procedures, including:
- Percutaneous Laser Disc Decompression (PLDD)
- Percutaneous Endoscopic Lumbar Discectomy (PELD)
- Percutaneous Stenoscopic Lumbar Decompression (PSLD)
- Anterior Cervical Discectomy and Fusion (ACDF)
- Microdiscectomy
dr. Christian Permana, Sp.BS, FTB, FINSS, FICS can be consulted at Mandaya Royal Puri Hospital on:
- Tuesday: 13:00 – 17:00 WIB
- Thursday: 13:00 – 17:00 WIB
- Friday: 13:00 – 17:00 WIB
- Saturday: 13:00 – 17:00 WIB
To facilitate your visit to Mandaya Royal Puri Hospital, you can use the WhatsApp chat feature, Book Appointment option, or the Care Dokter app, available on Google Play and the App Store, to manage appointments, check queue numbers, and access complete information.
