Sciatica Surgery · Triangle NC
Sciatica surgery for Raleigh, NC patients
From Raleigh, NC, RDU is the natural inbound for sciatica patients. The free MRI review identifies whether endoscopic decompression is appropriate before any travel.
Patients from Raleigh, NC
From Raleigh, NC, the about 4 hours drive is long enough that most patients fly through Raleigh-Durham International (RDU) into Greenville-Spartanburg instead. For drivers, the route is I-40 west then I-85 south — roughly 280 miles from the practice. For patients flying in, the GSP-to-Seneca leg adds about 45 minutes by car after landing. Most Raleigh, NC patients combine consultation and sciatica surgery into one trip when scheduling permits. From the Triangle NC, patients seeking sciatica surgery arrive after their own research has surfaced endoscopic decompression as the procedure they want evaluated.
When you’ve been told fusion is the only option
If fusion has been recommended for you and you’re uncertain, the second-opinion path here is straightforward. Submit your imaging for free review by mail. If your specific pathology is addressable endoscopically, you’ll learn that. If fusion really is what’s needed, you’ll learn that too — along with a referral to an appropriate fusion surgeon.
Transparent bundled pricing
Bundled cash pricing is published before scheduling. 2026 rates: $15,000 for lumbar endoscopic decompression, $16,000 for cervical. The bundle covers surgeon, facility, anesthesia, and routine post-operative care — no separate facility, anesthesia, or assistant-surgeon billing arriving afterward. $250 consultation fee, credited toward the procedure if you proceed.
Your next step from Raleigh, NC
For patients flying from Raleigh, NC, the standard path for sciatica surgery is: free MRI review by mail (no travel required), then a single 3-4 day trip combining everything. Raleigh-Durham International (RDU) connects to Greenville-Spartanburg with reasonable schedules most days. The office handles Triangle NC patients routinely. Phone: (864) 886-9888 (local) or (833) 770-8100 (toll-free). Email: info@synergyspinecenter.com. The MRI review portal at /free-mri-review-start/ is the fastest way to begin.
Why patients from Raleigh, NC travel to Synergy
Raleigh patients typically fly RDU into GSP or drive the four-hour I-40 route. The metro produces steady volume. The drive from Raleigh, NC is about 4 hours via I-40 west then I-85 south, covering roughly 280 miles. Beyond drive logistics, the specific reasons patients from Raleigh, NC choose Synergy are consistent: (1) full-endoscopic spine surgery — a technique with limited U.S. availability — is what the practice does, (2) transparent bundled pricing published in advance at /transparent-spine-surgery-pricing/ replaces the opaque quoted-plus-supplemental-billing pattern common in the U.S. spine market, and (3) the no-fusion promise means patients get a candid assessment of whether fusion is genuinely required — not the reflexive fusion recommendation that dominates U.S. spine surgery for stenosis and herniated disc cases. For patients from Raleigh, NC researching options, the practice’s free MRI review is the practical entry point.
What sciatica is (and isn’t)
Sciatica is a symptom pattern — pain radiating from the lower back or buttock down the leg in a nerve-root distribution — not a diagnosis. The underlying cause is compression or irritation of one or more nerve roots (typically L4, L5, or S1) from a herniated disc, foraminal stenosis, or lateral recess narrowing. The pain follows the anatomical distribution of the affected nerve — L5 sciatica typically produces pain down the outside of the leg to the foot; S1 sciatica produces pain down the back of the leg to the heel. See /sciatica-treatment-options/ and /radiculopathy/.
When surgery becomes appropriate
Most sciatica does not require surgery. The natural history of sciatica from acute disc herniation is favorable — many patients improve within 6-12 weeks with conservative care. Surgery becomes appropriate for severe unrelenting radicular pain not responding to conservative care over an adequate trial period, progressive weakness or numbness in the affected nerve distribution, and urgently for cauda equina syndrome (bowel/bladder dysfunction with saddle anesthesia — a surgical emergency requiring immediate evaluation).
Endoscopic surgery for sciatica
When surgery is warranted, the goal is to remove or address the tissue compressing the affected nerve root. For sciatica from a herniated disc, the procedure is endoscopic discectomy. For sciatica from foraminal stenosis, the procedure is endoscopic foraminotomy. For combined pathology, the procedure combines approaches. The specific recommendation depends on what your imaging shows — the free MRI review makes this determination based on the actual pathology rather than symptom description alone.
Planning your visit from Raleigh, NC
Raleigh, NC patients typically fly to reach the practice. From Raleigh, NC, Raleigh-Durham International (RDU) offers flights connecting to Greenville-Spartanburg International (GSP) — the airport 45 minutes from the office. Alternative arrival airports include Atlanta (ATL, 2.5 hours from Seneca) and Charlotte (CLT, 2.5 hours from Seneca), both with more direct flight options from many origin cities. Standard travel pattern: fly in the day before the visit, follow the 3-day plan, fly home from GSP on day 3 or day 4. Rental car is recommended over rideshare — Seneca is not a major rideshare market. Total travel costs typically add $1,000-$3,000 to the surgical cost; see /medical-travel-cost-spine/ for detailed estimates. Post-operative follow-up is conducted remotely — one of the practice’s structural features that makes cross-country travel practical rather than logistically painful.
Frequently asked
How long is the drive from Raleigh, NC to Seneca?
Plan on about 4 hours for the drive, covering roughly 280 miles via I-40 west then I-85 south. The route is well-traveled. For early-morning procedures, arriving the night before is what most Raleigh, NC-area patients do. Transparent bundled pricing is published at /transparent-spine-surgery-pricing/.
Which airport works best from Raleigh, NC?
Patients flying from Raleigh, NC typically use Raleigh-Durham International (RDU) and connect into GSP. Rental cars are simpler than rideshare for the return, since post-op patients often want flexibility on departure timing. For candidacy assessment specific to your imaging, the free MRI review is the practical starting point.
Can I combine consultation and sciatica surgery into one trip from Raleigh, NC?
Yes — combining consultation and sciatica surgery into one trip is the standard model for out-of-town patients from Raleigh, NC. The MRI review and phone consultation happen before travel, so the in-person visit covers the procedure and post-op. The 3-day out-of-town visit structure is documented at /3-day-plan/.
Am I likely a candidate for sciatica surgery at Synergy?
The honest answer: the MRI tells. Spine candidacy is anatomical — without seeing the imaging, neither the surgeon nor the patient can have a useful conversation about whether sciatica surgery is appropriate. The free review front-loads that step. For candidacy assessment specific to your imaging, the free MRI review is the practical starting point.
Does Dr. McMillan personally perform every procedure?
Yes. The practice has been a single-surgeon model since founding — Dr. McMillan performs all endoscopic and percutaneous procedures himself. Patients who specifically want a high-volume operator come here for that reason. The 3-day out-of-town visit structure is documented at /3-day-plan/.
What if sciatica surgery isn’t appropriate for my situation?
You’ll get a direct answer about why and a recommendation for what would be appropriate. That sometimes means a fusion surgeon referral; sometimes continued non-operative management; occasionally a different diagnostic workup. The review delivers honest screening. Transparent bundled pricing is published at /transparent-spine-surgery-pricing/.
How can I tell if my sciatica needs surgery, from Raleigh, NC?
Clinical thresholds for sciatica surgery: (1) severe pain not responding to 6-12 weeks of appropriately structured conservative care, (2) progressive neurological deficit, or (3) cauda equina syndrome (urgent). Patients whose symptoms are stable or improving with conservative care typically do not need surgery. Patients whose imaging shows pathology matching symptoms AND whose symptoms meet the threshold above are appropriate candidates. For candidacy assessment specific to your imaging, the free MRI review is the practical starting point.
What’s the difference between epidural injections and surgery for sciatica?
Epidural steroid injections reduce inflammation around the compressed nerve root; they don’t remove the compressive tissue. Injections can provide meaningful pain relief lasting weeks to months, sometimes allowing the underlying pathology to resolve naturally. Surgery removes the compressive tissue itself. The decision between them depends on symptom severity, imaging findings, and prior treatment response. Transparent bundled pricing is published at /transparent-spine-surgery-pricing/.
How long does sciatica surgery recovery take for a patient from Raleigh, NC?
Most patients notice pain relief within 2-5 days of endoscopic surgery. Return to sedentary work: 1-2 weeks. Return to manual labor: 4-6 weeks depending on physical demands. For patients traveling from Raleigh, NC, immediate post-procedure travel home is usually well-tolerated within 24-48 hours. Follow-up is remote (phone, video, secure messaging) with routine intervals at 1, 2, 6 weeks and 3 months post-op. Full logistics and pathway detail are at /how-it-works/.
