Herniated Disc: Treatment Without Surgery in Mexico City

What is it?

About this condition

A herniated disc occurs when the nucleus of the intervertebral disc shifts and compresses a nerve root or the spinal cord. It is one of the most common causes of low back and sciatic pain. Although the diagnosis can be worrying, most cases can be treated without surgery through image-guided interventional procedures that reduce inflammation and pain directly at the site of compression.

Common symptoms

How does it present?

Low back pain radiating down one leg (sciatica)
Numbness or tingling in the leg, foot or toes
Muscle weakness in the affected limb
Pain that worsens when sitting, coughing or straining
Neck pain radiating to the arm (cervical herniation)
Stiffness and limited movement in the spine

Interventional approach

Treatment options

The goal is to reduce inflammation and nerve compression without surgery. Each case is evaluated individually to define the most appropriate plan.

Transforaminal epidural block (TFESI)

Injection of corticosteroid and anesthetic directly into the foramen where the nerve root is compressed. Guided by fluoroscopy for maximum precision. Reduces inflammation at the exact site of the herniation.

Interlaminar epidural block

Access to the epidural space to distribute anti-inflammatory medication over a wider area. Indicated when multiple levels are affected or for central herniations.

Pulsed radiofrequency of dorsal root ganglion

Modulates pain transmission at the dorsal root ganglion without destroying the nerve. An option when blocks provide temporary relief and a longer-lasting effect is sought.

Peridural neuroplasty (Racz technique)

For herniations with epidural fibrosis or adhesions. Uses a specialized image-guided catheter to release scar tissue and deliver medication directly.

Were you diagnosed with a herniated disc?

Not every herniation requires surgery. At the first consultation we review your MRI, identify the exact source of your pain, and explain the interventional alternatives available for your case.

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ABC Medical Center Observatorio · Office 514 · +52 55 4499 1139

Frequently asked questions

FAQ · Herniated Disc

Does a herniated disc always need surgery? +

No. Most herniated discs improve with conservative and interventional treatment without the need for surgery. Image-guided minimally invasive procedures can offer significant pain relief and improve function.

How long does an epidural block take to work? +

Relief can be immediate from the local anesthetic. The anti-inflammatory effect of the corticosteroid develops over 3 to 7 days. The response varies depending on each case and the severity of the compression.

Are epidural blocks safe? +

Yes, when performed by a trained specialist and guided by fluoroscopy. The risk of complications is low. They are done on an outpatient basis and the patient can go home the same day.

When is surgery actually needed for a herniated disc? +

Surgery is considered when there is progressive neurological deficit (loss of strength or sphincter control), or when pain does not respond to adequate interventional treatment after a reasonable period. This is assessed individually.

Can I exercise if I have a herniated disc? +

It depends on the phase and severity. Once acute pain is controlled, rehabilitation and supervised exercise are essential for recovery. During the consultation we define what type of activity is safe for your case.