Which specialist to contact for small L5-S1 hernia causing sciatic pain to foot?

Bonjour,

Une session chez l'ostéopathe va permettre de mettre en évidence une éventuelle douleur d'origine nerveuse par des tests de reproduction de la douleur type sciatique (Lasègue, Slump Test) ainsi que des tests neurologiques de réflexe, force et sensibilité. Une fois ceux-ci écartés, nous pouvons travailler main dans la main afin de soulager vos douleurs car bien souvent c'est pas l'hernie qui vous fait mal mais bel et bien la contracture musculaire ainsi que l'inflammation localisée d'un nerf comprimé qui vous fait mal.

Des techniques myofascia...les ainsi que le cupping therapy et le dry-needling aux endroits clés (la région lombo-sacrée et fessière) peuvent vous soulager.

Mon but c'est qu'après une voire deux séances on voit une amélioration sinon je recommanderai de faire une imagerie médicale type IRM. Read more

Hello,
for examination an orthopedist could ask for RMI or Scan, but you can have physical cares with a good osteopath or Physiotherapist.

Neurologist or orthopedic Doctor !

Hi an osteo or a physio/kiné would be adapted for your presentation!

Orthopedist and spine specialist

You should first see a doctor in order to get a prescription and after book an appointment with a physiotherapist, he'll help you with a treatment

Hi, osteopathy can be an helpful solution !

You should consider consulting with an orthopedic specialist, neurologist, and an osteopath to address your hernia-related concerns, nerve pain, and explore complementary approaches for management. These specialists can provide a comprehensive evaluation and recommend appropriate treatments for your condition. Always consult healthcare professionals for personalized advice based on your specific situation.

Hello. Depending on the extension of symptoms, you have several options. If you have severe motor dysfunction (trouble to move your feet correctly, stool and urine retention disorder, trouble to walk properly...) you can go to a neuro/orthopaedic spine specialist surgeon to discuss medical options. If you do not suffer from severe motor dysfunction, osteopathy can be a good help to reduce pain and improve mobility. If it handicaps your activities of daily living and you feel that you need to learn again how to move and realize those actions, physiotherapists can help you long term.

Dear patient,

As I could'nt personnally assess your real clinical and physical situation, let me introduce two levels of answer to your question so that you can adapt your behaviour to your actual situation:

1- If you feel a loss of strength in your leg, meaning if you can't walk on your heels or toes normally, then you need to go to a doctor to proceed to a proper medical assessment. Although this situation is pretty rare, it requires a quick response and I would recommand to rapidly contact your GP. You also can even contact a neurologist or an orthopedist directly.

2- If your situation presents no loss o...f strength and consists more in pain or disconfort, then you can go to any manual therapist you know or trust, to get a proper treatment. Physiotherapists, osteopath or chiropractors are trained to respond to your problem. Please note that in Belgium, if you want to go to a physiotherapist, you will need a prescription from your GP first.

I hope I answered your question and I wish you a good and quick recovery.

Raphaël Dumortier
Ostéopathe D.O. Read more

hi , you must contact an orthopediste

Hello, a physiotherapist can help you
Regards,

You can visit your general practitionner and a physiotherapist.

Hello, you can consult a neurologist. Kind regards

Hello, first of all, you should contact a general practitioner, and maybe an orthopedist.

Hi,

it depends the hernia. A small one, I can handle it, and you will have to pay attention to avoid make it bigger.
If it s a really big one, that s the neurosurgeon you need to ask.

You can still take an appointment and take the access code with you to have a look a your MRI or CT scan.

Regards

Hello, as long as there is only pain and no loss of force, you can come to an osteopath.

A neurolog

It would be nwise to consult a neurologic surgeon if the symptoms persist

Hello,
If you don't have a lost of strength and lost of sensibility for exemple, we may help you in osteopathy.
But if we can not help you, then you can take an appointment with your generalist practitioner or an orthopedic or a neurosurgeon.

Hello, you can take an appointment with a generalist doctor or a neurologist if you prefer to see a specialist.

Hi,
you could see an ostéopathe, a physiotherapist (manuel therapy method).
take good care

Hello
At first, a neurosurgeon should advise you at best. Consulting an osteopath could also help you , with all the attention that your case requires.

You should consult with a spine specialist or an orthopedic surgeon. They can evaluate your hernia at the L5-S1 level and its impact on the sciatic nerve, and recommend appropriate treatment options, which may include physical therapy, medications, or in some cases, surgery.

Hello,

I would suggest to see a neurologist !

Good morning, a physiotherapist is best suited for this pathology. Follow the treatment carefully until the end to get a good result.

Hello,

I think it would be wise to see a neurologist before consulting any manual therapist, especially if you have tingling sensations/numbness in the leg.

Kr

Valérie

We must first visualize the importance of this hernia.
By CT or MRI. For this, contact your doctor or an orthopedist or neurosurgeon.

Hello, we regularly receive this type of problem. Firstly, after analyzing the problem we try to normalize things before carrying out investigations which you can do with a physical doctor or sports doctor or directly with an orthopedist specializing in the spine.

physiotherapy specialist for the back with tecar laser and tesla .

Hello,
If a specialist has diagnosed you with a L5-S1 herniated disc you can go to an osteopath to seek pain management. The osteopath will use a set of techniques with the aim of decreasing the mechanical load of your lower back to reduce the pain and inflammation of the affected segment. The osteopath can also give you a few exercises to do at home.
However, if you have't seen any specialist for this yet you will need to answer a few questions and undergo a simple neurological exam (e.g reflexes and muscle strength) which can be done by your doctor, physiotherapist or osteopath to confirm the diagnosis and know the extent of th...e injury. Once this is done the specialist will advise you of the next step to take for an optimal management.
If you have any other questions don't hesitate to contact me, i will be happy to answer them!
Ines Read more

Lose of strenght ?

There can be many situations, pick the one that matches with your experience :
If you have low back pain + leg pain, you should see an osteopath
If you had low back pain, which shifted to leg pain less than 2 months ago, you should see an osteopath
If you had low back pain, which shifted to leg pain more than 2 months ago, you should see your GP
If you experience muscle wasting, or muscle weakness in the leg, you should see your GP

Hello,
You should go to see a neurologist or ortopesdist or neurosurgeon (just for the advice) or your general practitioner, but any physiotherapist specialised in back pain can help you with your pain already

You have to see a neurosurgeon ( spine surgeon).

Hello,
You should see a neurologist (specialist of the nerves). I think it could be the sciatic nerve that has problem and create the pain sensation in the leg.

Regards

Hi, You have to see a neurosurgeon quickly!
It's an emergency médical!
I wish you a speedy recovery.

You should work « Neurodynamic Thechniques » to relieve nerve pain .

Hi, you can try going to an osteopath at first. If it doesn't work, you can then go to a surgeon (neuro or ortho) to investigated further.

Hi, you must see with an Orthopedist and normaly you already get some physio ? If not, you must do some session to learn which exercise you can do.
have a good night

Find a surgeon heavily focused on spine care. Rather than seeing a general orthopedic surgeon who fixes lots of hips, shoulders, and knees along with an occasional spine or a neurosurgeon who does mostly brains but periodically dabbles below the skull, patients are well served by seeking out highly specialized spine experts. This too is borne out in research studies, which confirm that surgeons who do more of a given spine procedure have superior outcomes.
Kind regards,

Hi,
Sorry to hear about your pain.
You should get in touch with an orthopaedist first, you could also contact a neurologist because of your referred pain into your leg.
I assume the waiting times might be long, so you could also get in touch with your GP to already get an MRI prior to your appointment with the specialist.
So in short, contact the orthopaedist first but in the meantime, ask your GP to get an MRI underway before your specialist appointment.
I wish you a quick recovery,
Loïc Van Hille - Osteopath D.O.