No, not all herniated discs in the lumbar spine require surgery. In fact, the majority of herniated discs can be managed without surgical intervention. Many cases of lumbar disc herniation resolve on their own with conservative treatments such as rest, chiropractic care, physical therapy, pain medications, and lifestyle modifications.
Surgery is typically considered as a treatment option for herniated discs in the lumbar spine when conservative measures fail to alleviate symptoms and the individual experiences severe pain, significant functional impairment, or neurological deficits. Additionally, if conservative treatments have been tried for a significant period of time (usually several weeks to months) without significant improvement, surgery may be recommended.
It’s important to note that the decision to undergo surgery for a herniated disc is typically based on a thorough evaluation by a medical professional, taking into consideration the individual’s specific symptoms, medical history, physical examination findings, and imaging studies such as MRI scans. The final decision regarding surgery should be made in consultation with a qualified healthcare provider, such as a spine specialist or neurosurgeon, who can provide personalized advice based on the individual’s unique circumstances.
