Praanaa Surgical Care

No — and in fact surgery for sciatica is rarely the first-line recommendation. The vast majority of sciatica cases improve with targeted epidural steroid injections, physiotherapy, PRP, and posture modification. At Praanaa, 85% of spine patients never need surgery. Surgery is reserved for cases where conservative treatment has been fully exhausted or where there is progressive nerve weakness threatening permanent damage.

This is one of the most common and frustrating situations in spine care. Pain absolutely can exist when imaging appears normal — the problem may be dynamic (how the spine moves under load), early-stage disc changes that don't show clearly on standard MRI, or functional nerve irritation. A thorough clinical examination by an experienced spine specialist reveals what imaging misses. We take your pain seriously regardless of what the scan shows.

Most patients begin to feel relief within 24–72 hours of a C-Arm guided epidural injection. Full effect typically sets in over 1–2 weeks. Relief can last weeks to several months. It is often used as a window to begin physiotherapy — strengthening the spine while inflammation is controlled. Dr. Praveen will give you a personalised treatment plan based on your specific condition.

With modern microdiscectomy and endoscopic techniques, most patients are mobile within 24 hours and can return to light work in 2–4 weeks. Full return to physical activity typically takes 6–12 weeks. Minimally invasive approaches involve tiny incisions, minimal muscle disruption, and significantly faster healing than open surgery. Dr. Praveen will give you a personalised recovery timeline at your consultation.

Yes. Disc herniation surgery, epidural procedures, and spine surgery are covered under most major insurance policies — including Ayushman Bharat / PMJAY, Star Health, New India Assurance, and most corporate group policies. Praanaa is empanelled with multiple insurers. Bring your insurance card to your first consultation and we'll verify your cashless coverage at no charge.

It is never too late to consult — but the sooner, the better. Long-standing sciatica causes nerve sensitivity to increase over time, making recovery longer. However, even chronic cases often respond to the right targeted treatment. The first consultation is completely free and there is no obligation to proceed. We'll give you an honest assessment of where you stand and what your realistic options are.