Is a herniated lumbar disc treated conservatively or should I have surgery?

  A patient asked: Half a year ago, I started to feel uncomfortable with my back, and I felt pain after sitting for a long time, but it did not affect walking, sitting or lying down, so I did not pay much attention to it. Not long ago, I started to feel pain in my lower back and my left leg radiating from my buttocks to the outside of my calf, and it hurts even when I lie down. I can’t bend my back, I can’t put on my left sock, and I have trouble putting on my pants. At present, I can still walk, but I can’t walk fast, and I can’t take big steps with my left leg. It’s been 5 months now, but it hasn’t decreased or worsened, so my life is quite affected. Can this condition be treated conservatively? When will my condition stop hurting?  This is a common pathway for the development of symptoms in patients with lumbar disc herniation; for patients with lumbar disc herniation that does not cause symptoms of nerve damage (i.e., no loss of muscle strength, urinary or fecal disorders) and whose onset is short, conservative treatment can be started. If the conservative treatment is not effective for three months, then surgery should be considered.  The patient has been onset for five months now, and the symptoms still have not been reduced, continue conservative treatment is estimated to be ineffective, suggest surgery.