• General topics
  • Submitted on 09/10/2023

Hi, I have a small Hernia (L5-S1) which pushes on the sciatic nerve. The pain is now extended to the knee/calf/foot. Which is the specialist I should get in contact with?

46 specialists answered

  • Hello,
    If you are aware of your hernia I assume you have already consulted a doctor. You can then consult an osteopath to help relieve pain, improve mobility and quality of movement. Possibly combined with physiotherapy it should improve.
    Take Care,
    Sarah Fabra Mestre – Osteopath

    Sarah Fabra Mestre

    Osteopath

    Uccle

  • Orthopedist then Physio

    Salah Assbane

    Physiotherapist

    Molenbeek-Saint-Jean

  • A small hernia can cause discomfort and disrupt daily activities, but seeking relief doesn't always have to involve invasive procedures. Osteopathy, a holistic approach to healthcare, offers a gentle and effective way to address small hernias by focusing on the body's natural healing mechanisms.

    Mwaye Essome

    Osteopath

    Berchem-Sainte-Agathe

  • Hello, you can see an osteopath maybe to try to see if any vertebra that is not moving properly is making the pain extending.

    Julie Vandenberghe

    Osteopath

    Soignies

  • 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
    ... Read more

    Maxime Lambert

    Osteopath

    Kraainem

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

    Michalon Gilles

    Physiotherapist

    Ixelles

  • Neurologist or orthopedic Doctor !

    Charlotte Dousset

    Physiotherapist

    Anderlecht

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

    Pauline Gonzales

    Osteopath

    Ixelles

  • Orthopedist and spine specialist

    Lorenzo Dragonetti

    Physiotherapist

    Woluwe-Saint-Lambert

  • 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

    Hugo Di Mascio

    Kinésithérapeute - Thérapie Manuelle

    Ixelles

  • Hi, osteopathy can be an helpful solution !

    Quentin Gil

    Osteopath

    Molenbeek-Saint-Jean

  • 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.

    Guillaume Claus

    Osteopath

    Nivelles

  • 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.

    Emmanuel Léon

    Osteopath

    Brussels

  • 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
    ... Read more

    Raphaël Dumortier

    Osteopath

    Woluwe-Saint-Lambert

  • hi , you must contact an orthopediste

    Charlotte Vanhollebeke

    Physiotherapist

    Grimbergen

  • Hello, a physiotherapist can help you
    Regards,

    Victor Barbason

    Physiotherapist

    Uccle

  • You can visit your general practitionner and a physiotherapist.

    Claire Dufeil

    Physiotherapist

    Forest

  • Hello, you can consult a neurologist. Kind regards

    Raphaëlle Outrequin (Deactivated account)

    Physiotherapist

    Ixelles

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

    Adélie Priem

    Physiotherapist

    Berchem-Sainte-Agathe

  • 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

    Michael Spevak

    Osteopath

    Zellik

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

    Mattias Devriendt

    Osteopath

    Mariakerke

  • A neurolog

    Joachim De Meur

    Physiotherapist

    Zaventem

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

    Vincent Di Liberto

    Physiotherapist

    Rhode-Saint-Genèse

  • 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.

    Elodie Leroux

    Osteopath

    Auderghem

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

    Noémie Stubbe

    Physiotherapist

    Woluwe-Saint-Lambert

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

    Gilles Michalon

    Ostéopathe et acupuncteur

    Ixelles

  • 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.

    Robert Dumont (Deactivated account)

    Osteopath

    Etalle

  • 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.

    Loic Bullock

    Physiotherapist

    Gembloux

  • Hello,

    I would suggest to see a neurologist !

    Florin Baratta

    Physiotherapist

    Ixelles

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

    Thomas Pagès

    Osteopath

    Anderlecht

  • 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

    Valérie Mertens

    Osteopath

    Etterbeek

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

    Robert Havelange

    Osteopath

    Ganshoren

  • 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.

    Stéphane Wemaëre

    Osteopath and Sports Physiotherapist

    Waterloo

  • physiotherapy specialist for the back with tecar laser and tesla .

    Marc Borlee

    Physiotherapist

    Ixelles

  • 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
    ... Read more

    Ines Dubois

    Osteopath

    Braine-L'Alleud

  • Lose of strenght ?

    Benjamin Lallement

    Physiotherapist

    Uccle

  • 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

    Ramdane Dehiles

    Osteopath

    Brussels

  • 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

    Thibault Cramesnil

    Physiotherapist

    Waterloo

  • You have to see a neurosurgeon ( spine surgeon).

    Andy Stefancu

    Orthopaedist

    Spa

  • 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

    Christophe Maton

    Physiotherapist

    Jette

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

    Benjamin Fourneau

    Osteopath

    Les Bons Villers

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

    Aurélie Dupont

    Physiotherapist

    Uccle

  • 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.

    Ashley Pescod

    Osteopath

    Auderghem

  • 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

    Michael Lefebvre

    Physiotherapist

    Laeken

  • 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,

    Alin Sirbu

    Orthopaedist

    Jette

  • 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.

    Loïc Van Hille

    Osteopath

    Dave

The content of the answers is strictly informative and should not be considered a substitute for medical advice

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