What specialist would you refer the employee to for a herniated disc?

• A. Neurologist
• B. Osteopath
• C. Internist
• D. Orthopedic surgeon

Answer: (D)

When a herniated disc is suspected, you want a specialist who can evaluate the spine comprehensively and determine both nonoperative and operative options. An orthopedic surgeon with a spine focus is best suited here because they specialize in the musculoskeletal system of the spine, understand the indications for surgical decompression or fusion, and can coordinate nonoperative care (physical therapy, injections) with potential surgery if needed.

Neurologists primarily assess nerve function and neurological symptoms but do not typically perform spine surgery. Internists handle overall medical care and chronic disease management, not specialized spine procedures. Osteopaths can provide musculoskeletal treatment and manipulative therapy, but for definitive management planning of a herniated disc—especially when surgery may be considered—the spine-focused orthopedic surgeon is the most appropriate referral.