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Decompression Surgery

Microdiscectomy & Laminectomy

Two of the most common and effective procedures for relieving pinched nerves in the spine. Use the interactive guide below to explore how each one works, what it treats, and what recovery looks like — then call Dr. Hobbs with your questions.

Medically reviewed by Jonathan G. Hobbs, M.D. · Updated June 2026

Relieving Pressure on a Pinched Nerve

Leg pain, sciatica, numbness, and difficulty walking are often caused by something pressing on the nerves in your spine — either a herniated disc or a narrowed spinal canal (stenosis). Microdiscectomy and laminectomy are decompression procedures that remove what's causing the pressure. Both can be performed with minimally invasive, tissue-sparing techniques.

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Explore Each Procedure

Microdiscectomy

When a disc herniates, its soft inner material pushes out and presses on a nearby spinal nerve — the usual cause of sciatica. In a microdiscectomy, Dr. Hobbs removes just the herniated fragment through a small incision using a microscope, taking the pressure off the nerve while leaving the rest of the disc intact.

Best for
Herniated disc, sciatica, leg pain & radiculopathy
Approach
Small incision (often < 1 inch), microscope-assisted
Anesthesia
General; typically about one hour
Hospital stay
Often same-day / outpatient
Recovery
Light activity in 1–2 weeks; fuller recovery ~6 weeks
Vertebral body Spinal canal Herniation

Laminectomy

In spinal stenosis, the spinal canal narrows and squeezes the nerves — often causing leg pain, heaviness, or cramping that worsens with walking. In a laminectomy, Dr. Hobbs removes part or all of the lamina (the bony roof of the canal) to reopen the space and free the nerves, preserving as much normal structure as possible.

Best for
Spinal stenosis, neurogenic claudication, leg pain with walking
Approach
Minimally invasive when possible; removes the lamina
Anesthesia
General; length depends on levels treated
Hospital stay
Outpatient or a short stay, depending on the case
Recovery
Progresses over several weeks; most activity by 6–12 weeks
Vertebral body Canal reopened Lamina removed

Diagrams are simplified illustrations for education and are not exact anatomical depictions.

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Your Procedure, Step by Step

Side-by-Side Comparison

Microdiscectomy Laminectomy
Main problemHerniated discSpinal stenosis
What's removedHerniated disc fragmentPart of the lamina (bony roof)
Typical symptom relievedSciatica / leg painLeg pain with walking
IncisionOften < 1 inchSmall; varies by levels
Hospital stayOften same-dayOutpatient or short stay
Fuller recovery~6 weeks~6–12 weeks

Sometimes both are combined — for example, removing a disc fragment and widening the canal in the same operation. Dr. Hobbs tailors the plan to what your imaging and symptoms show.

Interactive — tap a milestone

What Recovery Looks Like

Timelines are typical ranges and vary with the procedure, number of levels treated, and individual healing. Dr. Hobbs gives every patient a personalized recovery plan.

Are You a Candidate?

Surgery is usually considered after nonsurgical care — rest, medication, physical therapy, and injections — hasn't given enough relief, or when symptoms are progressing. You may be a candidate if you have:

Sudden severe weakness, or loss of bladder or bowel control, can be a surgical emergency — seek care right away or call 911.

Why Choose Dr. Hobbs

Minimally Invasive Focus
Tissue-sparing, microscope- and navigation-guided techniques for smaller incisions and faster recovery
Board-Certified Neurosurgeon
Board-certified by the American Board of Neurological Surgery
Elite Training
University of Kentucky medical degree; neurosurgery residency at the University of Chicago, serving as chief resident
Conservative-First Philosophy
Nonsurgical options are explored first; surgery is recommended only when it's the right answer
Image-Guided Precision
StealthStation navigation for accurate, targeted decompression
Lakeshore Bone & Joint Institute
Practicing at Northwest Indiana's most preferred orthopedic and spine practice

Frequently Asked Questions

Both relieve pressure on the spinal nerves, but they target different problems. A microdiscectomy removes the herniated portion of a disc that is pinching a nerve — most often the cause of sciatica. A laminectomy removes part of the lamina, the bony roof of the spinal canal, to create more room for nerves squeezed by spinal stenosis. Dr. Hobbs chooses the procedure based on what is compressing your nerves.
A microdiscectomy is often performed on an outpatient basis, meaning most patients go home the same day. It is one of the most common and successful minimally invasive spine procedures, and many patients experience immediate relief of their leg pain after surgery.
Recovery varies by procedure and individual. After a microdiscectomy, many patients return to light activity within 1-2 weeks and recover more fully over about 6 weeks. After a laminectomy, recovery generally progresses over several weeks, with most normal activities resumed within 6 to 12 weeks. Dr. Hobbs provides an individualized recovery plan for every patient.
Dr. Hobbs uses minimally invasive techniques whenever appropriate. A microdiscectomy is often performed through an incision of about one inch or less. A laminectomy may require a slightly larger incision depending on how many levels are treated, but minimally invasive approaches preserve more muscle and tissue and leave smaller scars than traditional open surgery.
Surgery is usually considered after conservative treatments such as medication, physical therapy, and injections have not provided adequate relief, or when there is progressive weakness or numbness. Good candidates typically have leg pain, sciatica, or difficulty walking caused by a herniated disc or spinal stenosis confirmed on imaging. Dr. Hobbs evaluates each patient individually.
Yes. Jonathan G. Hobbs, M.D. is a board-certified neurosurgeon who performs microdiscectomy and laminectomy using minimally invasive, tissue-sparing techniques with image-guided navigation. He practices at Lakeshore Bone & Joint Institute, with offices in Crown Point, Chesterton, and Portage, Indiana.

Get Answers About Your Back or Leg Pain

If sciatica or leg pain is holding you back, find out whether a microdiscectomy or laminectomy could help. Dr. Hobbs will review your imaging and explain your options. Call today to schedule a consultation.

(219) 250-5010

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Crown Point Office

500 E. 109th Avenue
Crown Point, IN 46307

Chesterton Office

601 Gateway Boulevard
Chesterton, IN 46304