Condition · Neurosurgery in Alicante

Lumbar disc herniation and sciatica

A lumbar disc herniation can irritate or compress a nerve root and cause sciatica. Treatment depends on progression, neurological deficit and agreement between the symptoms and imaging.

Clinical information

Understanding the diagnosis

Pain may extend through the buttock and leg and be accompanied by tingling, sensory loss or weakness. Many cases improve without surgery.

The surgical decision is not based on herniation size alone. The duration and intensity of symptoms, neurological function and response to conservative treatment also matter.

Symptoms and context

When to seek assessment

  • Persistent or disabling sciatica
  • Weakness in the leg or foot
  • Tingling or sensory loss
  • Recurrence after previous surgery
  • Bladder changes or saddle numbness, which require urgent attention

Alternatives

Options that may form part of the plan

01

Adapted activity, medication and physiotherapy

02

Epidural or nerve-root injection in selected cases

03

Lumbar microdiscectomy

04

Revision surgery for recurrent herniation or associated stenosis

Case review

Second opinion

A second opinion can clarify whether continued conservative treatment or surgery is more appropriate and review the technique, expected benefit and risk of recurrence.

How to request a second opinion

Appointment in Alicante

Review the case and define the next step.

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