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Neurosurgeon suggested surgery . . .

The neurosurgeon that I saw today suggested that I think about surgery to L5 S 1 for nerve root compression, leg and foot weakness.There is no reflex when they hit the back of the ankle. Also, that I would have to have a myleogram first, as the MRI is not clear on the nerve root impingement.  When I asked the % of leg function return he was unable to give me an answer as this has been since 2002. When I asked if I wait what % of damage--he didn't know. He also said that I could try epidural injections at the pain clinic.  When I asked if this was a chronic condition he said that if I had surgery that it would NOT be chronic.  He also said that I can add traction to my physical therapy regimen, but that it probably will not work. I reminded him that it did work 4 years ago, and he said yes, but you still had some symtoms. I asked about an interdeferential Unit for home use as my physical therapist suggested and he said to have my family Dr. order. When I said that if I continue PT I will have to stay on short term disability from work as my activitites are limited, his answer was that is up to my family Dr. Also, this neurosurgen doe not do micro surgery and says that both procedures are the same, only one uses a microscope, he would use magnifing glasses.  The chiropractor says no surgery, epidural injections or drugs he can help.  I would like to try conservative measures.  Any suggestions would be greatly appreciated.
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Avatar universal
A few things  to consider is long term effects if surgery wasn't a success.Once its done theres no turning back.Is this surgeon a spine specialist.Does he have a spine fellowship?Get a second opinion.Keep in mind a chiro beleives in natural healing,not surgical intervention.I went to a chiro for 7 years before I had my lumbar surgery.The surgery failed and had to have a second to stablelize the first.If there is nerve impingement,time will tell if the damage done now will be reversible after surgery.Only you will know when the right time is.I beleive in conservitive measures to a point.
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Avatar universal
Thanks for the advice, I really appreciate it. Your are right about conservative measures to a point.  If my symtoms progess, I would certainly go ahead with surgery. I think at this point, I want to try to continue Physical therapy, its just a slow process.
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Avatar universal
the longer you have symptoms the more likely you'll have damage to the nerve root than in turn takes longer to heal. Instead of a myelogram, find a neuroradiologist at a teaching hospital who will do a discogram under fluoroscopy. it's not comfortable, but it will identify the nerve root(s) involved. Your PT can tailor your treatment more specifically or you'll know if surgery is necessary. If pain and quality of life are issues consider definitive treatment, measure risk/benefit for long term health. Hope you improve.
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