Surgery for Sciatica May Not Be For Everyone
Surgery is one of the ways to relieve sciatica pain. There are different types of sciatica surgery. However, each depends on the cause of your sciatica.
It’s a good idea to make sure you understand the reasons why surgery could be a recommendation. Although it may not be a good option for you too, and you should understand why.
Do you need surgery?
In specific cases, surgery is the only option. And those being when the underlying cause is serious. These causes can include:
- Cauda equina syndrome
- Infections
- Tumor growth
- Severe lumbar disc herniation
Surgery for these cases is definite. Not only does it preserve leg function, however, it also improves the quality of life!
Sciatica surgery can be an option when:
Pain is accompanied by progressive neurological symptoms. Furthermore, you may experience numbness along with leg pain. Conservative methods will be explored for about 8 weeks. These methods may include:
- Physical therapy
- Steroid injections
- Heat/ Ice therapy
- Anti-inflammatory and nerve pain medication
Then, if these methods fail or do not improve symptoms, surgery may be the last option.
Leg function will be significantly limited, such as if you are unable to perform daily activities or your job.
What are my surgical options?
Several back conditions will cause sciatica. The specific type of surgery will depend on the cause. So, to treat a pinched nerve, you must first locate the impingement.
Some of the most common procedures include the following:
Microdiscectomy. A small part of the disc is first removed. Therefore, relieving compression of the root nerve.
Laminectomy. This relieves pressure on the lumbar nerves. A small part of the lamina will first be removed. This is the posterior part of the vertebra.
Foraminotomy. This also provides lumbar decompression. First, a small opening is enlarged. And this neuroforamina is trimmed, which gives the nerve roots more space.
It’s most common for this procedure to be performed minimally invasive. Therefore, only a small incision is necessary. In some cases, however, an open surgical procedure is required. So, this is for compressions that have multiple causes, such as an open lumbar laminectomy.
What is the long-term outlook after sciatica surgery?
Surgery will provide immediate pain relief. Although after a couple of years, if the results are the same additional treatments will be recommended. The outcome typically depends on the underlying cause, however. It also depends on certain factors such as:
- Your age
- If you smoke
- Previous history of sciatica
Surgery for sciatica will improve leg pain. However, it’s important to note that lower back pain may remain.
If you are considering surgery for sciatica pain, consult your doctor. Then, they can help you better understand the options available for you. You can also learn more about the outcomes.
If you are considering a surgical procedure for sciatica, call us at 888-409-8006. Our spine specialists are here to help you figure out if surgery is the right choice for your back pain.