First, have you had another opinion from a different spine surgeon that is not associated with the one you are using?
It really is best to get at least one other opinion before embarking on any kind of spine surgery.
It's also important to be sure that there is no other cause of the nerve compression on the nerves beside a herniated disc.
If you have any narrowing of the foramen that the nerves past through, then that area needs to be widened along with the microdisectomy, otherwise, you will not get the full relief of decompression.
The most common cause of failed spinal decompression surgery is the failure to release the nerve compression in the lateral recess area of the foramen of the vertebrae. The end result of this error in decompression has resulted in many, many fusions being done that should not have been done.
Another thing to find out before your microdisectomy is how the surgeon will access the disc. More and more surgeons are not doing a full laminectomy to do microdisectomes because it has the potential to make the vertebrae unstable and ultimately require a fusion to prevent the vertebrae from slipping.
The best way to access both the disc and the vertebrae, if any widening of the foramen or lateral recess is needed is to do what is called a laminotomy. Only a small part of the lamina is removed on either one side or both to perform the surgery.
This leaves the vertebrae with far less of a chance of slipping and causing further problems.
I had both a microdisectomy and a widening of the foramen and release of the lateral recess.
I was up and walking in less than 3 hours after surgery, went home less than 12 hours after and the post op pain from a 1 inch incision, was nothing compared to the pain before the surgery. I think I took one pain pill the night I came home from the hospital.
I had one stitch to close the 1 inch incision and a clear bandage covering it. I couldn't twist, turn, bend, stoop or lift anything heavier than 5 pounds for 2 weeks. Had the stitch removed and went for a full 10 week round of physical therapy to strengthen the core muscles, learn proper moving and doing things and once released I continued with the exercises twice a day since.
The physical therapy exercises will become a permanent part of your life for the rest of your life and you need to do them every day or you will start to stiffen up in the the muscles.
You will need to be somewhat careful of your spine for about a year after the surgery, and then just follow your doctors instructions.
I would say that I felt 100% after about 6-8 months, but I was in my mid 50's with my surgery and age and other factors can make a big difference.
I was on my feet about 6 hours every saturday, starting in Oct, and that was hard. By the time I got home from 1 day a week working, I would feel it for several days. I knew it was more than I should be doing, but sometimes you don't have any choices and you have to just do what you have to do and suffer.
I can't say if you will be OK to go back to school in the fall or not. It will depend a lot on your body and how you heal.
BUT, I would strongly suggest that you get another opinion before surgery next week though.
Good luck and keep us posted.
Fran