
WHEN SHOULD SURGERY BE CONSIDERED FOR A LUMBAR DISC HERNIATION?
The necessity for surgery in the treatment of a lumbar herniated disc (lumbar disc herniation) depends on a variety of factors. Since each patient's condition is different, the treatment approach should be individually assessed. Here are situations where surgery for a herniated disc may be necessary:
Severe Pain: If the herniated disc causes severe, unbearable pain that does not respond to conservative (non-surgical) treatments, surgery might be considered.
Neurological Issues: Surgery might be considered if the herniated disc leads to neurological problems such as muscle weakness or loss of strength in the legs.
Progressive Neurological Symptoms: If neurological symptoms due to the herniated disc are progressively worsening, surgery is definitely required as soon as possible.
Bladder or Bowel Problems: Emergency surgery is required if the herniated disc causes serious functional problems like loss of bladder or bowel control.
Persistent Pain Despite Medication: Surgery might be considered if pain persists despite medications, physical therapy, or other conservative treatments. This decision depends on the patient's quality of life. The patient may choose to undergo surgery.
Young and Active Patients: Surgery might be more frequently considered in young and active individuals as a quick recovery and return to functionality is expected.
However, the necessity for surgery varies for each patient. To assess whether a patient needs surgery, the doctor will consider the patient's symptoms, neurological status, age, lifestyle, and other medical factors. The decision for surgery should be based on the patient's individual circumstances. Therefore, a person with a herniated disc should consult their doctor and act according to their recommendations.