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 praticiens ont répondu

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
Ostéopathe

Uccle
Orthopedist then Physio

Salah Assbane
Kinésithérapeute

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
Ostéopathe

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
Ostéopathe

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...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. Voir plus

Maxime Lambert
Ostéopathe

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
Kinésithérapeute

Ixelles
Neurologist or orthopedic Doctor !

Charlotte Dousset
Kinésithérapeute

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

Pauline Gonzales
Ostéopathe

Ixelles
Orthopedist and spine specialist

Lorenzo Dragonetti
Kinésithérapeute

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
Ostéopathe

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
Ostéopathe

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
Ostéopathe

Bruxelles
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. Voir plus

Raphaël Dumortier
Ostéopathe

Woluwe-Saint-Lambert
hi , you must contact an orthopediste

Charlotte Vanhollebeke
Kinésithérapeute

Grimbergen
Hello, a physiotherapist can help you
Regards,

Victor Barbason
Kinésithérapeute

Uccle
You can visit your general practitionner and a physiotherapist.

Claire Dufeil
Kinésithérapeute

Forest
Hello, you can consult a neurologist. Kind regards

Raphaëlle Outrequin (Compte désactivé)

Kinésithérapeute

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

Adélie Priem
Kinésithérapeute

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
Ostéopathe

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

Mattias Devriendt
Ostéopathe

Mariakerke
A neurolog

Joachim De Meur
Kinésithérapeute

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

Vincent Di Liberto
Kinésithérapeute

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
Ostéopathe

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

Noémie Stubbe
Kinésithérapeute

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 (Compte désactivé)

Ostéopathe

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
Kinésithérapeute

Gembloux
Hello,

I would suggest to see a neurologist !

Florin Baratta
Kinésithérapeute

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
Ostéopathe

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
Ostéopathe

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
Ostéopathe

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
Ostéopathe et Kinésithérapeute du sport

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

Marc Borlée
Kinésithérapeute

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...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 Voir plus

Ines Dubois
Ostéopathe

Braine-L'Alleud
Lose of strenght ?

Benjamin Lallement
Kinésithérapeute

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
Ostéopathe

Bruxelles
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
Kinésithérapeute

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

Andy Stefancu
Orthopédiste

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
Kinésithérapeute

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

Benjamin Fourneau
Ostéopathe

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

Aurélie Dupont
Kinésithérapeute

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
Ostéopathe

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
Kinésithérapeute

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
Orthopédiste

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
Ostéopathe

Dave