Which specialist should an employee with a herniated disc be referred to?

A herniated disc often requires specialized care to address the complexities of the condition, which can involve both structural and neurological components. The most suitable specialist for this situation is an orthopedic surgeon.

Orthopedic surgeons are trained to deal with musculoskeletal issues, including the spine, and they have the expertise to assess the severity of the disc herniation and determine whether surgical intervention is necessary. They can also provide a comprehensive treatment plan that may include non-surgical options, such as physical therapy or medication, if surgery is not immediately required.

While other specialists, like physiatrists and neurologists, play important roles in managing pain and rehabilitation or addressing neurological symptoms, the orthopedic surgeon is specifically equipped to evaluate and treat the structural problems associated with a herniated disc. A chiropractor might provide relief through spinal manipulation, but they do not operate or diagnose surgical conditions as orthopedic surgeons do. Therefore, referring the employee to an orthopedic surgeon offers the best route for comprehensive management of the herniated disc.