A herniated disc visible on an MRI is not, on its own, sufficient to decide on surgery.
Symptoms.
Sciatica can involve pain in the buttock and leg, tingling, or numbness. Lower back pain may also occur. A decrease in strength requires prompt evaluation.
The assessment.
The examination looks for impairment of strength, sensation, and reflexes. If indicated, an MRI clarifies the herniation and its correlation with the symptoms.
Treatments.
Medical treatment aims to relieve pain and allow for adapted activity. An injection may be considered. Rehabilitation is adapted to the stage of the injury and the patient's tolerance.
When to discuss surgery?
Surgery may be considered for persistent, debilitating pain despite treatment, or as an emergency in cases of certain neurological complications. It consists of removing the fragment responsible for the compression. Its expected effect is primarily on leg pain; back pain may persist.
Post-operative care and limitations.
Recovery and return to activities are discussed on a case-by-case basis. Risks include infection, hematoma, cerebrospinal fluid leak, nerve injury, and recurrence.
When should I consult an emergency patient?
Recent loss of strength, numbness in the perineum, or new urinary or bowel control problems require urgent evaluation. Call 15 or the 112 : do not wait for a scheduled appointment.
Your questions.
Should I bring the images or just the report?+
Bring both if possible, as well as any letters and treatments already received.
Can I get a second opinion before making a decision?+
Yes. The consultation allows us to review your file, the proposed options, and any questions you wish to clarify.