• Skip to main content

Neurosurgery & Spine Consultants

  • Home
  • About
    • What’s New?
    • Providers
      • Board-Certified Neurosurgeons
      • Advanced Care Providers
    • Awards & Media
    • Patient Testimonials
    • Referring Physicians
    • In-Office Capabilities
    • Careers
  • Care
    • Issues We Treat
      • Neck Issues
      • Mid-Back Issues
      • Low-Back Issues
      • Peripheral Nerve Issues
    • SI Joint
  • Treatments
    • Nonsurgical Pain Care
      • Physical Therapy
      • San Antonio Pain Relief Clinic
      • DEXA Scan San Antonio
    • Cranial Care
    • Spinal Care
  • Resources
    • First Visit
    • Insurance
    • FAQs
    • Pay My Bill
    • Blog
    • Medical Video Library
    • Privacy Policy
  • Contact
    • Request Appointment
    • Locations
      • Main Medical Center
  • Pay My Bill

Search Throughout Our Website Here at Neurosurgery & Spine Consultants

Do I Need Back Surgery?

June 10, 2025 by Neurosurgery & Spine Consultants

do_I_need_back_surgery

Understanding Your Options with Neurosurgery & Spine Consultants

Back pain can be truly relentless. For many individuals, it will start with a dull ache, then possibly linger for weeks. The flare-ups could transform into sharp pain, limiting bodily movement and overall quality of life. When conservative treatments no longer bring relief, it may be time to ask: “Do I need back surgery?”

Here at Neurosurgery & Spine Consultants, we’re able to help our patients determine the next best steps and answer that question. Choosing whether or not to have back surgery is a very important decision, but it’s not always the first decision which should be considered. Most people with chronic back pain won’t require back surgery to have their health restored. With others, it may be the key to finally having their health restored and regaining control of their life once again.

Let’s go over some of the key signs, common conditions, and how to know when back surgery may be the right choice for you and your health.


When Is Back Surgery Considered?

Back surgery is typically recommended in the following scenarios:

  • Non-surgical treatments have failed
    You’ve tried physical therapy, injections, medications, and rest with no significant improvement.
  • There’s a clear anatomical cause
    Imaging shows a structural issue—such as a herniated disc, spinal stenosis, or degenerative disc disease—that matches your symptoms.
  • Nerve compression is involved
    You’re experiencing symptoms like leg pain (sciatica), numbness, tingling, or weakness due to a pinched nerve.
  • Mobility and quality of life are declining
    Pain is interfering with your ability to work, sleep, walk, or enjoy daily activities.

When you choose Neurosurgery & Spine Consultants, our first priority is to exhaust all other conservative options prior to even considering surgical intervention. If surgery is deemed appropriate, we’ll be able to offer minimally invasive procedures to reduce recovery time and maximize positive outcomes.


Common Conditions Which May Require Back Surgery

While each back pain case is unique, some of the most common spinal conditions associated with back pain that may eventually require surgery include:

Herniated Disc

When the soft cushion between your vertebrae are compressed through excess pressure and pushes out, this causes pressure on the nerve resulting in pain, numbness, or weakness in the arms or legs.

Spinal Stenosis

Narrowing of the spinal canal may compress nerves and cause pain, cramping, or weakness. This can be especially true when walking or standing.

Degenerative Disc Disease

As spinal discs naturally wear down over the course of time, pain and instability may begin to develop. For severe cases, spinal fusion or an artificial disc replacement may be considered as a viable option.

Spondylolisthesis

Spondylolisthesis occurs when the vertebra slips out of place. Oftentimes there will be pain and nerve compression. Surgery may ultimately be required in some cases of Spondylolisthesis.

If you’re experiencing any of these conditions, Neurosurgery & Spine Consultants will guide you through your imaging, symptoms, and options in detail. We want to help you make the best decision for your health and peace of mind.


Signs You Might Not Need Surgery (Yet)

It’s important to remember, not all back pain will require surgery. Many of our patients have improved with time, physical therapy, and medically guided care. You may not need surgery if:

  • The pain is localized and doesn’t radiate
  • You’re not experiencing numbness, tingling, or weakness
  • Your imaging results don’t show a structural issue
  • Pain is manageable and improving with therapy or medication

At Neurosurgery & Spine Consultants, we believe surgery to be a last resort option. This means physical therapy, epidural injections, or medication are often explored thoroughly prior to any surgical options being discussed.


Types of Back Surgery We Offer at NSC

When surgery is deemed necessary by our team, our specialists focus on minimally invasive techniques whenever possible. This means smaller incisions, shortened hospital stays, and quicker overall recovery.

Procedures performed by Neurosurgery & Spine Consultants include:

  • Microdiscectomy – To remove part of a herniated disc pressing on a nerve
  • Laminectomy – To relieve spinal stenosis by removing bone overgrowth
  • Spinal Fusion – To stabilize the spine in cases of severe degeneration or instability
  • Artificial Disc Replacement – To preserve motion while replacing a damaged disc
  • Revision Spine Surgery – For patients with complications from a prior procedure

Every surgical plan is unique to your diagnosis, lifestyle, and goals.


What to Expect from a Consultation

When you choose Neurosurgery & Spine Consultants, we don’t just order imaging and make a snap decision. We take the time to:

  • Review your full medical history
  • Understand your symptoms and lifestyle
  • Order the right diagnostic imaging (if needed)
  • Explain what’s happening inside your spine
  • Outline all treatment options—not just surgical ones
  • Discuss realistic expectations for pain relief and recovery

Our mission here at Neurosurgery & Spine Consultants is to provide you with the information and support you need to make the best, most confident decision possible when it comes to your care options.


Life After Back Surgery: Recovery & Results

If surgery is deemed necessary and the right path for you, our amazing team will be with you every single step of the way. Most patients will report significant improvements in pain, mobility, and function within just weeks of the minimally invasive spine surgery.

At Neurosurgery & Spine Consultants, your recovery process includes:

  • Post-operative physical therapy
  • Personalized exercise plans
  • Follow-up imaging and evaluations
  • Ongoing support from your surgical team

Our goal is not just to fix your spine, it’s to help you regain your health, wellbeing, and confidence.


“Do You I Need Back Surgery?”

The only way to truly answer that question is to have a thorough evaluation performed here at Neurosurgery & Spine Consultants. If your back pain is persistent, worsening, or affecting your day-to-day quality of life, now is the time to seek out answers.

At Neurosurgery & Spine Consultants, we’re ultimately here to provide you with expert insight through advanced technology and comprehensive care.

Contact us today to schedule your initial consultation and take the first step toward a healthier spine and a more active life once again.

DISCLAIMER: No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Filed Under: Blog

  • Home
  • San Antonio Providers
  • About
  • Insurance
  • Patient Resources
  • Careers
  • Contact

Neurosurgery & Spine Consultants • Copyright © 2025