Is Surgery Required for Treating Sciatica?
Surgery for sciatica is typically considered only when conservative treatments, such as physical therapy, medications, and lifestyle changes, fail to provide relief. The goal of surgery is to relieve pressure on the sciatic nerve by addressing the underlying cause, such as a herniated disc, spinal stenosis, or a bone spur. One common surgical procedure is a discectomy, in which the portion of a herniated disc pressing on the nerve is removed. Another option is laminectomy, where part of the vertebra is removed to widen the spinal canal and relieve nerve compression. These surgeries are generally effective in providing relief from sciatica symptoms, particularly in cases where there is significant nerve compression.
However, most people with sciatica do not require surgery and can find relief through non-surgical treatments. Physical therapy, lifestyle changes, and the use of hot or cold compresses often help manage sciatica effectively. In some cases, patients may be advised to try injections, such as epidural steroid injections, to reduce inflammation around the nerve. Surgery is usually reserved for severe cases, especially when sciatica leads to significant weakness, loss of bowel or bladder control, or when other treatments have not worked.
