Lumbar Discectomy for Sciatica and Leg Pain
Lumbar discectomy is a spine surgery option for selected patients with a herniated lower-back disc pressing on a nerve. PPSI evaluates the full clinical picture before recommending surgery, including pain pattern, weakness, imaging, prior treatment, and impact on function.
Who this treatment may help
This treatment may be considered for persistent sciatica, radiating leg pain, numbness, tingling, or weakness from a confirmed lumbar disc herniation, especially when symptoms have not improved with conservative or interventional care.
What to expect at PPSI
The surgical consultation reviews MRI findings, neurologic symptoms, prior injections or therapy, job demands, and recovery goals. The physician explains the disc level, nerve involved, expected benefit, risks, alternatives, and follow-up plan.
- Review of symptoms, prior treatment, medications, and imaging when available.
- Clear explanation of the likely pain source and practical treatment options.
- Follow-up plan focused on pain relief, mobility, work needs, and long-term function.
Safety, candidacy, and alternatives
Surgery is considered carefully when pain is severe, function is limited, or neurologic symptoms are present. Emergency evaluation is needed for bowel or bladder changes, saddle numbness, or rapidly worsening weakness.
Recovery and coordinated care
Recovery may include walking progression, temporary lifting restrictions, medication guidance, wound care, and physical therapy. PPSI coordinates post-procedure care to help protect the surgical result.
Frequently Asked Questions
Is lumbar discectomy for back pain or leg pain?
It is most often considered when a disc herniation causes nerve-related leg pain or neurologic symptoms. Back pain alone may require a different evaluation.
Can I try injections first?
Many patients do. The right sequence depends on symptoms, imaging, severity, and neurologic findings.
What should I bring?
Bring MRI reports or discs, previous therapy and injection records, medication lists, and details about work or activity limitations.
Care across New Jersey
Precision Pain & Spine Institute serves patients in Edison, Clifton, Elizabeth, Hamilton, Jersey City, North Brunswick, Passaic, Somerset, and nearby communities.