Intractible sciatic pain degenerative disc disease surgery or no surgery?

Surgery if severe. Sciatica is caused by degenerative discs or joints impinging upon the nerves within the spine. If best medical management is not successful, consultation with a surgeon is recommended. Surgical decompression, allows the nerves to heal and for the severe leg pain of sciatica to be relieved. Each case must be carefully evaluated to make the best recommendation.
Lifestyle limited? I tell my pre-op patients with your problem that if they have failed conservative therapies and the symptoms are still limiting their daily routines/activities to consider surgery as the next/last option. Most are very happy with their outcomes.

Related Questions

When is surgery needed for degenerative disc disease?

Rapid progression. When pain becomes unmanageable, and there is progressive loss of strength and sensation, and a risk to bladder function occurs, there is little hesitation, but if one has merely a radiological disc lesion, it may well shrink and dessicate in about 8-9 months, and surgery is not necessary. Read more...

Besides surgery, is there a way to treat degenerative disc disease?

Yes. Surgery is reserved for the most severe cases of patients with pain and disability. The majority of people with ddd can control it with non-operative treatments such as medication, exercise, and occasionally spinal injections. There is nothing one can do however to reverse the disc degeneration itself. Read more...
Lifestyle changes. Usually incorporating exercise routine of cardiovascular-flexibility & core workouts, proper weight control, smoking cessation, possible use of a back support, making sure your mattress is good & sometimes use of over the counter medications if no medical reasons not for their use. Then there are interventions like physical therapy & perscription medications. Most are treated nonop, over 90%. Read more...
Soon. There is a ton of research on disk regeneration, that is taking an old worn out disk and making it like new. This will probably be done through advances in stem cell technology. Read more...

I have disc herniation and degenerative disc disease. What do you think about surgery at 70?

Common. It is common to have back problems as we age. Having surgery in your 70's is not uncommon. If your symptoms are severe and limit your daily life than surgery may be necessary. Of course you should be seen by your primary doctor first to evaluate your general health status. Discuss with your surgeon what procedure you need and what is the best procedure for your specific problem. Read more...
Back Pain Options. This back pain as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. Surgery can be avoided. Read more...

I had an MRI done and the dr said that I have degenerative disc disease in my 5th and 6th vertabrae. Would surgery be required?

You had back. Pain, and you didn't relate if there is neurologic isues of numbness, weakness in arms (if cervical) or lower extremity (if thoracic). You need to ask a neurosurgeon the benefit and liability of surgical procedure. Read more...

I have degenerative disc disease (L4, L5) at a younger age. Are people like me still walking and functional when older (50s)? Would I need surgery later?

Of course. You can be healthy and functional. You need to be proactive and take care of yourself. Good nutrition, keep the weight off, good body mechanics, keep exercising, especially back strengthening and core. There is no reason that you can't be physically active and healthy long long long into the future! Good luck. Read more...