When To See an Orthopedic Surgeon for Back Problems
An orthopedic surgeon specializes in the diagnosis and treatment of conditions affecting the musculoskeletal system, from bones and joints to muscles and nerves. While their title includes the word “surgeon,” these specialists provide a range of care to their patients. Many back problems can be addressed without an operation, and these surgeons often recommend non-surgical options first. Here’s information on when to visit a surgeon for back problems:
For Neck and Back Pain
Neck and back pain can stem from many different sources, ranging from muscle strain to structural changes in the spine. To effectively manage back pain, an orthopedic surgeon evaluates the cause of someone’s pain and recommends a treatment plan based on their specific condition. Treatment may involve surgical or non-surgical approaches, depending on an individual’s diagnosis.
Herniated Discs
A herniated disc occurs when the soft material inside a spinal disc pushes through its outer layer. This can place pressure on nearby nerves and cause pain, numbness, or weakness. A surgeon will often suggest physical therapy and medication first, but surgery may be discussed if symptoms persist or worsen.
Spinal Stenosis
Spinal stenosis is a narrowing of the spaces within the spine, which can compress the nerves that travel through it. People with this condition often experience discomfort that increases with standing or walking. Treatment options range from conservative care, such as exercise and injections, to surgical procedures that create more space within the spine.
Degenerative Disc Disease
Degenerative disc disease refers to changes in the spinal discs that develop over time. As discs lose height and flexibility, they may contribute to ongoing back pain. Orthopedic specialists typically begin with non-surgical management, but they turn to surgery when other methods do not provide adequate results.
For Sciatica
Sciatica describes pain that radiates along the path of the sciatic nerve, which runs from the lower back through the hips and down each leg. This discomfort often results from a herniated disc, a bone spur, or spinal narrowing that compresses the sciatic nerve. Many cases of sciatica improve with time and conservative care, with treatments such as:
- Stretching
- Physical Therapy
- Anti-inflammatory Medication
Individuals with sciatica should visit an orthopedic surgeon when their pain lasts for several weeks, interferes with daily activities, or comes with significant leg weakness. An orthopedic surgeon can identify the underlying cause and determine whether surgical treatment is appropriate.
For Scoliosis
Scoliosis is a sideways curvature of the spine that often develops during the growth period before puberty. This condition ranges from mild to severe, and the curve may change over time. Orthopedic surgeons monitor the degree of curvature and track its progression. For mild cases, observation and regular checkups may be sufficient.
Moderate scoliosis curves are sometimes managed with bracing, which can help limit further progression during growth. When the curve becomes severe or continues to advance, an orthopedic surgeon may recommend surgical correction. Scheduling an evaluation allows the surgeon to assess the curve and outline a plan suited to the individual.
Contact an Orthopedic Surgeon
If you experience ongoing back or neck pain, persistent sciatica, or scoliosis, you should schedule a consultation with an orthopedic specialist. These specialists can evaluate your condition and guide you toward appropriate care that fits your situation. To find a surgeon near you, start by asking your primary care physician for a referral. You can also search online directories maintained by professional medical organizations, which let you filter by location and specialty. Before booking an appointment, check that the surgeon accepts your insurance and has experience treating spine-related conditions.
