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Information & Treatment
About the treatment
Symptoms and Pain Localisation
A herniated disc can be asymptomatic or cause lower back pain (lumbago) and nerve pain (neuralgia). Depending on its location, the pain may take the following forms:
Cruralgia: Pain in the front or inner thigh, sometimes extending to the leg or knee, caused by compression of the femoral nerve.
Sciatica: Pain from the buttock to the foot, following the path of the sciatic nerve. It may be accompanied by weakness, numbness, or tingling. The pain depends on which nerve roots are affected: cruralgia occurs if L2, L3, or L4 are involved; sciatica occurs if L5 or S1 are affected.
About the treatment
Causes & Factors
Mainly caused by the progressive degeneration of intervertebral discs, where the annulus fibrosus can wear down, develop fissures, and allow the nucleus pulposus to protrude, forming a hernia.
In rare cases, trauma can cause a "post-traumatic" hernia.
Factors favoring a herniated disc include:
- Disc degeneration: Genetic in origin.
- Mechanical factors: Overweight, carrying heavy loads
About the treatment
Duration and treatment
Most attacks resolve within 6 weeks with relative rest and medical treatment.
- Consult a doctor if pain occurs.
- 60% of hernias resolve spontaneously.
- If pain persists beyond 6 weeks, a radiological examination (MRI or CT scan) is recommended.
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Diagnosis
No X-ray examination for the first 6 weeks, except for signs of severity. After 6 weeks: MRI (recommended) or CT scan, followed by specialist consultation.
Conservative Treatment
Relative rest, avoiding heavy exertion, moderate activity, time off work if necessary. Painkillers, anti-inflammatories, and 1 to 3 infiltrations if necessary.
Physical therapy
Can be useful on a case-by-case basis to treat herniated discs and, once the problem has been resolved, to prevent recurrence. Focuses on rehabilitation, muscle strengthening and postural correction.
Indications for Surgery
Surgery proposed if conservative treatment fails or in cases of severe neurological disorders. Objective: nerve decompression and symptom relief.
When to seek emergency treatment
In case of walking or urinary disorders, numbness in the private parts, erectile dysfunction, or cauda equina syndrome.
Types of Surgery
Surgical options for treating a herniated disc include endoscopic, minimally invasive and microsurgical techniques.
Post-operative convalescence
80% of pain is relieved immediately after surgery. Post-operative pain diminishes within 2 to 3 weeks.
Persistent pain
Sequelae of pain may persist if the nerve has been excessively compressed. Neuropathic pain is treated medically, according to medical advice.
Spinal Cord Stimulation Surgery
Considered if pain lasts more than a year and is disabling, with the aim of controlling chronic pain.
Purpose of the operation
Nerve decompression to reduce pain, particularly in the leg. Back pain is managed by physiotherapy, focusing on muscle strengthening and posture.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
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