A member asked:

24 year son ruptured l-5/sciattica. epidural worked 2 weeks & now sciattica returning despite pt/traction/epidural. does that mean surgery is needed?

4 doctors weighed in across 3 answers
Dr. Hal Blatman answered

Specializes in Pain Management

No: Your son may have injured his gluteal tendons or his muscles and fascia, with the pain having little to do with his spine and nerves. You will need a specialist who can examine him who knows a lot about myofascial pain and these tendon injuries.

Answered 6/25/2013

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Discussion: Every case is different. See neurosurgeon to discuss benefits and risks of surgery. In many cases conservative treatment works. Only physician who evaluated the patient can make recommendations.

Answered 3/26/2013

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Not necessarily : Physical therapy and repeat epidural are more conservative methods.

Answered 10/4/2016

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