From medication and physical therapy to interventional methods and, when needed, endoscopic surgery — a case-specific treatment plan.
Dr. Özgür Akşan · Neurosurgery · İzmir, Türkiye
Send your MRI and we will review the herniation and your options together — a second opinion is welcome.
Treating a disc herniation is not a single method. Care usually starts with the least invasive step; surgery is considered only when needed. The right step depends on your symptoms and findings.
Most new or mild-to-moderate disc herniations can settle without surgery. Treatment usually begins at this step, with pain control, activity balance and physical therapy.
In selected cases that do not respond well to medication and physical therapy, epidural injection, caudal block or radiofrequency may be considered as an intermediate step.
When leg pain persists, weakness progresses, or conservative care is insufficient, endoscopic discectomy or microdiscectomy is evaluated. The technique is chosen case by case.
Many herniations improve with conservative care — medication and physical therapy — and do not require an operation. Interventional methods such as epidural injection or radiofrequency may help in selected cases. Surgery (endoscopic discectomy or microdiscectomy) is considered when leg pain persists, weakness progresses, or conservative care is insufficient. The right path is decided together, case by case. This page is for general information and does not replace a medical consultation.
Neurosurgeon
A careful, case-specific approach to lumbar disc herniation — a realistic assessment of conservative, interventional and surgical options, and an honest plan that avoids unnecessary surgery.