Have had sciatica for 17 years, have done pt, exercises, two epidural inections, meds, no relief. Pain every nigth for months. Mri revealed diffuse disk bulge t12-l1. Small soft tisue density within left neural foramina at l1-2 measuring 5 mm. L4-5 questionalbe tiny disk herniation on right with annual tear. L5-s1 diffuse disk bulge. Diffuse disk bulge at l1-2 with questionable artifact versus small extruded disk,into left neural foramina. Now pain on right side middle of back. Ortho knows pt and meds havent helped. Did 2 epidural injections which did nothing. Seeng neurosurgeon on monday. Am i a andidate for some type of surgery or not
Well, without knowing the relevant clinical details or a detailed clinical evaluation it would be difficult to comment specifically on the situation. While mild to moderate cases are managed conservatively with rest, anti-inflammatory medications and physiotherapy to strengthen the back muscles; physiotherapy is reserved for moderate cases that fail to respond to conservative management and severe cases with neural compression. It would be best to have this evaluated by a neurologist or a neuro-surgeon for suggestion of an appropriate management plan.
Hope this helps.
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