Overview of Sciatica

Sport Trial Surgical treatment for sciatica may be worth it however many patients do as well with non-operative treatment at two years. The recently published Spine Patient Outcomes Research Trial is a government funded multi-clinic study. The study found slightly better outcomes for surgical treatment of sciatica than nonsurgical treatment. 60% chose surgical treatment in the surgical arm and 45% chose surgery in the nonsurgical treatment group. This large number of patients changing groups prevented direct comparison. The clear message was that leg pain was more completely relieved by surgery than non-operative treatment.

Non-Operative Treatment

Non-operative treatment can be effective and people may do well with it but surgery works better for leg pain related to disc herniation. Surgery is definitely not for every patient. All patients should be treated initially with conservative measures and if they are not improving they may do well with a surgical treatment. In general, discectomy is for patients with leg pain and not for patients with only back pain from degenerated discs. A physician may say that surgery will help your leg pain but if you are unwilling to try surgical treatment you may do well with non-operative methods. Today there are many people claiming no one should have surgery for disc herniation and there are others who claim leg pain patients should have surgery right away. The truth is neither approach is correct for any given person. Hopefully this and other well supported prospective randomized trials will smooth out regional variations in standards of care in practice.


We accept Medicare and most Medicare Replacement plans. Call us to find out more 210-672-2812

Patient Portal

We are pleased to provide patients with secure, 24/7 access to their health records through Spine Pain Be Gone. Patients can safely and easily:

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Call to request a free review of your MRI or CT scan today!

Call to request a free review of your MRI or CT scan today!

Spine Pain Be Gone

  • Back Neck and Spine Pain Stops Now


    Are you in need of back pain treatment? Looking for a back doctor in the San Antonio, TX area? Dr. Fogel of the Spine Pain Be Gone Clinic offers an alternative to traditional open back and neck surgeries. Utilizing world-class technologies and highly-advanced tools, Dr. Guy Fogel specializes with innovative minimally invasive spine surgery techniques for his patients.



    Common Conditions & Treatments


    Dr. Fogel offers his patients less painful and time-consuming surgical procedures as compared to traditional open back and neck surgeries, motion limiting fusion surgeries and artificial disc replacements.  He does this by utilizing the latest technologies and techniques for pain causing neck and back conditions through minimally invasive endoscopic procedures. 




Words from our patients

  • Vitals

    "He is warm, friendly, courteous and polite. He takes his time and answers all your questions. He did a lumbar fusion on me and I have had no problems."

    Verified Patient
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    "The best doctor I ever met and his staff go way beyond expectations to try to help. Seeing him was the best thing I ever did."

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  • Demandforce

    "Dr. Fogel's surgical procedure on my spine three years ago totally eliminated my back pain. I highly recommend Dr. Fogel to any one needing back pain relief."

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  • Demandforce

    "He is an awesome doc! I highly recommend Dr. Fogel. I can say that I have my life back and can do a lot of things that I couldn't do before my surgeries."

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    "They do their utmost best to get their patients back to living as well and as actively as possible. You will not find a better spinal team!"

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    "Dr. Fogel is awesome! He was very clear on my diagnosis and his recommendation of the procedure that I needed to fix the problem in my spine."

    Jaclyn R.
Guy Fogel, MD, FAAOS
2833 Babcock
Suite 306
San Antonio, TX 78229