Living with Sciatica: When Does Surgery Become the Best Option?

Sciatica goes beyond ordinary back pain. It can make everyday activities like sitting, walking, or even getting a good night’s sleep difficult. Some people find that their symptoms improve with rest and conservative treatment, but others continue to struggle with persistent pain that affects every part of their lives. If you have been living with sciatica and have not found lasting relief, you may begin to ask when surgery becomes the right choice and whether it could finally help you feel better.
 

What is Sciatica?

Sciatica refers to pain that travels along the path of the sciatic nerve, which runs from your lower back through your hips, buttocks, and down each leg. This pain is not a condition itself, but a symptom of an underlying problem affecting the nerve.
 

Common Causes of Sciatica

The most frequent causes of sciatica include:
 

•          Herniated Disc: When the soft inner material of a spinal disc pushes through its outer layer, it can press on the sciatic nerve.

•          Spinal Stenosis: Narrowing of the spinal canal puts pressure on the nerve.

•          Degenerative Disc Disease: Breakdown of spinal discs can lead to nerve irritation.

•          Bone Spurs: Overgrowths of bone on the vertebrae can pinch the nerve.

•          Trauma or Injury: Accidents or falls can cause direct nerve compression.
 

When Should You Consider Surgery for Sciatica?

Most people with sciatica improve with non-surgical treatments, such as physical therapy, medication, and lifestyle changes. However, surgery may be considered if:
 

•          Symptoms Persist: Pain, numbness, or weakness continues for 6-12 weeks or longer despite conservative treatment.

•          Severe or Worsening Neurological Symptoms: Increasing leg weakness, loss of bowel or bladder control, or difficulty walking are red flags that may require urgent surgical intervention.

•          Quality of Life is Affected: Persistent pain significantly limits daily activities, sleep, or work, and other treatments have not provided relief.
 

Advanced Surgical Solutions for Sciatica

When surgery becomes the best option for sciatica, Dr. Luis M. Tumialán, who specializes in minimally invasive spinal surgery, may recommend one of several advanced procedures tailored to your condition. He will determine the best surgical approach based on your individual needs, ensuring the most effective and personalized care.
 

One common surgical option is a minimally invasive microdiscectomy. This procedure is often used to treat a herniated disc that is pressing on the sciatic nerve. Through a minimally invasive approach, Dr. Tumialán removes the portion of the disc that is causing nerve compression, typically using a small incision the size of a dime. Microdiscectomy frequently results in rapid relief from leg pain and allows for a quicker recovery compared to more invasive techniques.
 

Another effective procedure is minimally invasive spinal decompression. This technique is often recommended for patients with spinal stenosis or bone spurs contributing to sciatic nerve pain. During the procedure, Dr. Tumialán removes small amounts of bone or tissue to widen the spinal canal and alleviate pressure on the nerve. Minimally invasive spinal decompression is designed to reduce recovery time and minimize discomfort, offering a less disruptive alternative to traditional open surgery.
 

Find Out if Surgery Is Right for You

Sciatica can be a challenging condition, but most patients find relief with non-surgical care. However, if pain persists or neurological symptoms worsen, surgery may offer the best chance for lasting improvement and a return to normal activity. Discussing your symptoms and treatment goals with Dr. Tumialán is essential to determine the right time and type of intervention for you.
 

If you’re living with persistent sciatica and want to explore your options, schedule a consultation with Luis M. Tumialán, MD, to discuss the best path forward for your health and comfort. Visit our office Scottsdale, Arizona, or call (480) 771-0700 to book an appointment today.