Herniated disc surgery / Top clinic in Germany, Friedrichshafen

Herniated disc surgery

The Orthopedic department at Clinic of Friedrichshafen, led by an experienced Professor Dr. Winter, offers a wide range of treatment methods, including the innovative spinal surgery of disc herniation. A herniated spinal disc (Prolapsus nuclei pulposi) is a spine disorder, in which a portion of the herniated intervertebral disc encroaches on the spinal canal, pinching the nerves of the spinal cord. The fibrous ring of the herniated disc ruptures partially or completely, while the posterior ligament might remain intact. At the Friedrichshafen Clinic in Germany, surgery is always the last resort in the case of spinal injuries.

Causes of herniated discs could be genetic factors, obesity, incorrect lifting of heavy objects, sudden twisting movements, exposure to constant vibrations etc. It is a common problem and often goes unnoticed, because it is not always accompanied by back pain. There were over 29,000 treated cases in Germany in 2012 - slightly more in women than in men. In most cases, the patients were between 45 and 65.

Symptoms of a herniated disc

A history of lumbago, a stiff neck or sciatica and a diagnosis of sensory disorders or weakness are basic signs of a herniated disc. At the Friedrichshafen Clinic in Germany, we always exhaust all other options before we resort to surgery of the spine.

Diagnostics at the Friedrichshafen Clinic in Germany

A sure diagnosis can only be made with the aid of imaging techniques:

  • computed tomography of the spine
  • MRI
  • myelography


Orthopedics in Germany has achieved high results in herniated disc surgery and back pain elimination. Most cases can be treated conservatively, without resorting to surgery (medication, rest cures, catheter techniques, physical measures).

The treatment of spinal herniation consists of several stages. Initially, conservative treatment is carried out. It consists in using the physiotherapy, massage, acupuncture, medication, intramuscular injections and intravenous infusions, wearing of an orthopedic corset.

If the conservative treatment didn't help...

If the conservative treatment seems to be ineffective, there is a good reason to think about the herniated disc surgery: microsurgical or endoscopic removal of herniated disc. There are 3 indications for microsurgical removal of a herniated disc (herniated disc surgery).

Absolute indications for herniated disc surgery:

  • Urination, defecation, erection problem due to the pain syndrome
  • Limbs weakness

The sooner the operation is performed in these conditions, the better the results.

Relative indications for herniated disc surgery

  • The inefficiency of the full course of conservative therapy (2-3 months).
  • The persistent back pain caused by a hernia, currently treated only with analgesics. The operation last for about 30 minutes.

Advantages of the herniated disc surgery (microsurgical method)

  • fast and efficient treatment of acute pain
  • the possibility of simultaneous removal of two hernias
  • reducing the time of hospitalization
  • sparing technique
  • rare occurrence of complications

Price of the herniated disc surgery

It is difficult to calculate the price for a herniated disc surgery in advance. The following prices serve only for general information. The diagnosis of the herniated disc problem would cost about 850-2000 euro. The operation on the intervertebral discs costs about 8000 – 15000 euro. The prosthetic intervertebral disc makes up 15000 – 25000 euro. Spine stabilization: surgery 20000 euro.

Types of operations for herniated disc surgery at Friedrichshafen Clinic in Germany

Percutaneous nucleotomy: a minimally invasive procedure to remove the source of impingement on the nerve root or spinal cord)

  • Surgery is only possible if the fibrous ring of the vertebra is fully intact!
  • Endoscopic techniques and micro-surgical techniques.
  • These techniques can be used in all cases.
  • This type of surgery can be performed on the lumbar region (sparing posterior approach).
  • These techniques can be performed on the cervical spine (anterior cervical disectomy with simultaneous spinal fusion).

Endoscopic herniated disc surgery

Endoscopic methods, being a minimal invasive kind of therapy, allow soft and efficient treatment of the herniated disc surgery. This is a percutaneous surgery that has revolutionised herniated disc surgery. It is a very gentle approach that is extremely useful in many cases and is often used in the case of chronic back pain. This technique is used more and more frequently in the case of nerve root canal stenosis (abnormal narrowing of the canal). It is important to clear up exactly where the problem lies before proceeding with the operation. At the Beta Clinic of the Friedrichshafen Clinic in Germany, we use MRI for this purpose.

Endoscopic herniated disc surgery is ideal when the problem is situated in the lumbar region. The patient can be treated without injury to the muscles and ligaments. In endoscopic herniated disc surgery the instruments are inserted through the natural openings between the bones. It is possible to do so because the instrument is only 7mm in diameter.

Advantages of endoscopic herniated disc surgery

Just two hours after endoscopic herniated disc surgery, the patient can begin to walk around and is usually free of pain. The spine surgeons at the Friedrichshafen Clinic in Germany usually discharge their patients the same day, or in some cases, the next day. The patient can return to work and resume his sporting activities relatively soon after the procedure. Thanks to the gentle lateral approach used at our clinic in Germany, endoscopic herniated disc surgery is also possible in recurring cases because existing scar tissue is not affected. In the case of nerve root canal constriction and extreme wear and tear accompanied by severe back pain, this method can also be used.

Summary of the advantages of endoscopic herniated disc surgery at our clinic in Germany:

  • the patient is usually pain free directly after the operation
  • the patient can begin to walk around 2 hours after the operation
  • the patient can go home the same day or the next day
  • the patient can go back to work and resume his usual sporting activities very soon after the operation
  • the method can even be used in recurring cases, due to the lateral approach which doesn't affect scar tissue
  • the method can also be used in the case of nerve root canal constriction

If you suffer from regular back pain, loss of muscle strength, sensory disorders, dont't hesitate to ask for professional help. The specialists of our clinic in Fridrichshafen will consult you in detail, help to optimise the medicamentous treatment and physiotherapy to alleviate the primary pain syndrom, and, in case of need, carry out a modern surgery to remove the herniation.

Herniated disc surgery

3.4/5 (110 votes)

Comments and questions

Nnedinma Nwakalor Tue, 04 Sep 04:35

I live in Nigeria and am having lower back pain..had MRI and it's shows Mutilevel disc herniation and Spinal stenosis...
I have been in pains,and had an enlarged liver and ulcer from drugs given to me by my consultant (neurosurgeon).
I want to know what best to do to permanently stop this pain as it's affecting my daily life.Am very scared of a spinal surgery.Was thinking if there is anything thing I can do to sort it out. Let me know what to do, and don't mind been physically there to be examined

Barış sağcan Sun, 22 Jul 11:23

Hello. I m 25 years pls from turkey. I m having 2 years kongre stubborn pain due go t8-9protrusion (to central Lefter) disc degenerate, t 9-10 protrusion with anular tear(cent right) disc degenerate and schnorl node with diffuse bulging t10-11 . Can i have surgery with öne ör more level included and can. İ go back to life without pain and. Can i Resume contact sports and bodybuilding affet tht . Respects ... (note i tried almost all conservative treatments)

Dale Kierstead Wed, 14 Mar 00:38

I have c4-5, c5-6, and c6-7 disk hernistion. I am 55 and looking for options other than disk fusions offered in the USA. I am very healhy and love working out, skydiving, and other outdoor activities. Are you currently doing cervical disk replacement and is so, how do I receive additional information?

Manal Alazemi Mon, 05 Mar 10:06

i am a pregnant 15 wks women with very severe backache, diagnosed with L5-S1 disc herniation, S1 instability, & known case of chronic Sacroiliitis treated with anti/TNF injections monthly, the pain is affecting my daily minimal activities for more than 4 months, with several attacks of legs weakness, numbness & pain associated with severe back stiffness , can’t stand, walk & sit,admitted to hospital for pain management, i received 2 epidural injs under u/s (3 months apart) but with short period of improvement for 3 weeks only then my symptoms reoccur. I need to know if i can do endoscopic lumbar discectomy while i’m pregnant or there is other intervention . Thank you

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Medical Staff

Prof MD Eugene Winter

Prof MD Eugene Winter
Head of the Orthopedic Department of Clinical center of Friedrichshafen

MD Norbert Heuer

MD Norbert Heuer
Head physician assistant

MD Christoph Kaiser

MD Christoph Kaiser
Senior physician

MD Rainer Schnell

MD Rainer Schnell
Senior physician

Ingrid Glauss

Ingrid Glauss
Medical secretary





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  • 2500 surgeries
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