Our spine is the architectural marvel that supports our every moveâwalking, bending, even just sitting. When a spinal disc bulges or herniates, it can press on nerves, triggering pain that radiates through the back, legs, or buttocks. This discomfort doesnât just affect your bodyâit impacts your quality of life, work, and overall well-being. Thankfully, medical breakthroughs offer hope. Microdiscectomy, a minimally invasive surgery, has helped thousands regain comfort and mobility.
Globally, an estimated 100,000â150,000 microdiscectomies are performed annually, with success rates between 85â95%. In India, too, its use is growing, especially in urban centers, highlighting a shift toward advanced spinal care.
âMicrodiscectomy is a game-changer,â says Dr. Gurneet Sawhney, a distinguished neurosurgeon in Mumbai. âIt allows us to precisely remove the problematic disc tissue with minimal trauma to the surrounding structures. Patients often experience rapid relief and can resume daily life much sooner than with traditional open surgery.â
Yet, some individuals may still face buttock pain postoperatively. Letâs explore why, whatâs considered typical, and ways to overcome it.
Understanding Microdiscectomy
Microdiscectomy is a precise, minimally invasive procedure used to remove herniated disc material thatâs pressing on a lumbar nerve root. A small incision (typically 1â2 inches) and a surgical microscope are employed to excise the offending disc fragment.
How it helps:
âBy minimizing trauma, microdiscectomy not only speeds healing but also significantly reduces postâoperative pain,â explains Dr. Gurneet Sawhney, an acclaimed neurosurgeon based in Mumbai. âItâs designed for targeted decompressionâpreserving structural integrity while delivering prompt relief.â
Possible Causes of Buttock Pain After Microdiscectomy
Mild discomfort or soreness near the incision site during the initial days is common. But persistent or worsening pain requires attention. Common reasons for buttock pain include:
âItâs essential to differentiate between normal postâsurgical sensations and warning signs,â emphasizes Dr. Gurneet Sawhney, often called the Best neurosurgeon in Mumbai. âA doctorâguided assessment and followâup imaging can help determine whether inflammation, scar tissue, or a structural issue is behind persistent pain.â
Tips to Manage and Reduce Buttock Pain
Managing postâmicrodiscectomy pain is about balance and care. Here are effective strategies to promote healing and comfort:
âCustom rehabilitation is key to recovery,â notes Dr. Gurneet Sawhney, a respected neurosurgeon in Mumbai. âEach person heals uniquely, so followâup with physiotherapy ensures you’re rebuilding strength and balance without overloading healing tissues. Itâs a step wise, gradual process tailored to your recovery.â
When Should You Worry About Buttock Pain?
While mild soreness is expected, certain symptoms require immediate medical attention. Reach out to your surgeon or care team if you notice:
Intensifying pain or pain that doesnât improve after six weeks of conservative care
New or worsening leg weakness, numbness, or tingling
Loss of bladder or bowel control or new saddleâanesthesiaâthese may signal cauda equina syndrome
Sudden, severe sharp back or buttock pain after heavy strain or trauma
Fever or chills, accompanied by redness or unusual warmth near the incisionâpotential signs of infection
Early intervention is key. Donât delay reaching out for guidance if you’re uncertain.
Preventing Prolonged Buttock Pain After Microdiscectomy
Preventing longâterm discomfort involves smart habits and careful rehabilitation:
âA disciplined, longâterm approach to spinal care is essential,â Dr. Gurneet Sawhney advises. âStrengthening, stretching, and ergonomic awareness not only ease recovery but also lower the risk of recurrence. Itâs about building resilience in the long run.â
Conclusion
Buttock pain after microdiscectomy can arise from inflammation, muscle tension, scar tissue, or rare complications. Mild discomfort is normal and often subsides with guided activity and rehabilitation. However, persistent or worsening pain, neurological changes, or signs of complications should never be ignored.
With a custom recovery plan involving movement, physiotherapy, and preventive lifestyle adjustments, most patients regain strength and mobilityâoften within weeks. Always listen to your body and seek professional guidance when needed.
Frequently Asked Questions
How long does buttock pain last after microdiscectomy?
Most postâsurgical soreness eases in 4â6 weeks. Buttock pain due to inflammation or mild muscle strain typically resolves within this timeframe with conservative care and stretching. If pain persists past 8â12 weeks, itâs wise to follow up with your surgeon.
Is it safe to sit for long periods after surgery?
Short sitting periods (20â30 minutes) with proper lumbar support are fine. However, prolonged sitting can tighten buttock muscles and increase discomfort. Stand up, stretch, or walk every 30 minutes to reduce risks.
Can massage therapy help buttock pain?
Yesâwhen prescribed by your care team. Professional deep tissue or physiotherapistâled massage can ease muscle spasm and improve circulation, but should complement, not replace, stabilization exercises.
Should I repeat imaging if pain persists?
If buttock pain doesnât improve after six weeks, or if new neurological symptoms arise, followâup imaging (MRI or CT) may help identify scar tissue, recurrent disc issues, or nerve impingement.
Can I drive soon after surgery?
Most surgeons advise avoiding driving for at least one week. Return when you can comfortably and safely operate the pedals and sit upright without using pain meds that impair alertness.