The last resort (or could be the first for some) in sciatica treatment is surgery. Sciatica surgery may seem scary, fancy and hard to digest, but it is a very necessary procedure to treat sciatica if the following has occured:
1. You’re suffering from severe pain and it’s getting worse, plus the pain doesn’t respond to opiate drugs for more than 1 month
2. You have a herniated disc
3. Alternative treatment and an honest to goodness life style change didn’t work
The surgery will depend on your type of sciatica. Remember the 5 types I’ve listed above?
Here are some of the surgical options your neurologist might do:
Fusion Surgery – when you have Isthmic spondylolisthesis then the vertebra that has slipped out of place will be fused back into its original position by using a bone graft that is supported with metal rods.
Discectomy – Surgery is really needed when your sciatica is caused by a herniated disc. A part of the damaged disc that is pressing on the sciatic nerve is removed to allow the natural proper function again.
Laminectomy – is used to treat spinal stenosis by removing or trimming the arch of the vertebra which will then relieve the pressure on the sciatic nerves.
Surgery is effective yet risky. Make sure that your neurologist has an excellent background and has had many successful cases.
The doctor will discuss to you the risks like infections and of how the spinal nerves might get damaged. Once these risks happen there will be bad consequences to the body like paralysis or even coma.
But then again, these risks are very unlikely when you have a great neurosurgeon operating on you and you believe in your will to live. Also whatever your religion may be, it will be a big plus to keep praying to get better.