Condition · Lumbar spine
Lumbar Disc Herniation
A herniated lumbar disc can inflame or compress a nerve root traveling into the leg — the familiar pattern of sciatica.
Symptoms
Symptoms may include low-back pain, sharp or burning leg pain, tingling, numbness, or weakness. Coughing, sitting, or bending may aggravate the pattern depending on the disc and nerve involved.
Diagnosis
The examination tests strength, sensation, reflexes, gait, and nerve tension. MRI is most useful when symptoms persist, significant weakness is present, or an injection or surgery is being considered.
Treatment options
Most patients improve without surgery through time, activity modification, medication when appropriate, and a progressive therapy program. A targeted epidural injection may reduce inflammation and facilitate recovery.
When surgery is considered
Microdiscectomy may be appropriate for persistent disabling leg pain, progressive motor weakness, or a clear disc-nerve match after conservative care.
When to seek care promptly
New bowel or bladder dysfunction, saddle numbness, or rapidly worsening leg weakness requires urgent evaluation — these can indicate cauda equina syndrome.
Initial consultation or second opinion?
Meet Dr. Jihoon Choi for an initial consultation — or bring your imaging for an independent second opinion before your next step. Call (972) 817-7450 or request a visit online.