10% need surgery: Only 10% need surgery. Lifestyle changes important: weight control, regular exercise & not smoking. If no improvement with physiotherapy other options include medication & pain management for injections like epidural steroids. If these fail, then are the symptoms bad enough to warrant surgery is the question. A disectomy is recommended if sciatica is predominant symptom if disc seen on mri.
Answered 10/15/2012
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