UVA Health · New patients

Lumbar spine

Microdiscectomy

Remove the herniated fragment, not the entire disc, through a small tubular approach

Motion preservingMinimally invasive option
Lumbar spine anatomy related to Microdiscectomy

The goal of surgery is to remove the herniated disc fragment, not the entire disc. Using a minimally invasive tubular approach, the muscles are gently separated rather than cut, minimizing tissue disruption and allowing most patients to walk on the day of surgery.

Not every disc problem is best treated with a microdiscectomy. If the disc space has significantly collapsed, the spinal segment is unstable, or spinal stenosis is the primary source of symptoms, a different procedure may provide a better long-term result. Microdiscectomy is specifically designed for patients with nerve compression caused by a focal disc herniation, and when the diagnosis is clear, it can provide some of the most rapid and gratifying symptom relief in spine surgery.

What to expect

  • Typically outpatient. A one-inch incision.
  • Leg pain often improves before the back soreness from the tube site does.

Recovery

  • Walking is the first medicine. Sitting for long stretches is limited early on.
  • Recurrence is possible with any disc herniation; activity is progressed rather than banned forever.

This page is educational. It is not a recommendation for surgery. Whether a procedure is appropriate is decided after examination, imaging, and a conversation about goals and risk.

FAQ

Questions about microdiscectomy

What is microdiscectomy?

The goal of surgery is to remove the herniated disc fragment, not the entire disc. A tubular approach parts muscle instead of cutting it, so most patients walk the day of surgery.

Who is microdiscectomy for?

Microdiscectomy is often considered for: Nerve compression from a focal disc herniation; Patients who have failed time, therapy, and injections; Recurrent herniation in selected cases.

Does microdiscectomy preserve motion?

Yes. Microdiscectomy is a motion-preserving option. Dr. Li does not recommend fusion when this procedure can treat the condition.

What is recovery like after microdiscectomy?

Walking is the first medicine. Sitting for long stretches is limited early on. Recurrence is possible with any disc herniation; activity is progressed rather than banned forever.

Appointments

Ready to take the next step toward recovery?

New patients are welcome. Call the spine clinic or send a note — the team will help you find the right visit.