Avatar universal

25yr old w/lumbar herniations, degeneration, facet arthropathy

I am 25 years old and have  herniated discs at L2-L3, L3-L4, L4-L5, and L5-S1.  Mild efacement of the thecal sac at 2-3 3-4, moderate efacement at 4-5 and 5-1.  Degeneration at 5-1 and facet arthropathy at 2-3 3-4.  Back pain moderate to severe leg pain moderate to severe at buttock, thigh, and sometimes numbness in calf/shin.  Right greater tow numb for around 3 weeks now. 3 ESI's with moderate relief in leg pain for around 5 days with each procedure. Phys thereapy-not helpful, chiro-30 min relief, tramadol daily between 50 - 400 mg.  I am told I am a candidate for surgery and am now considering it.  Pain began 3yrs prior, worse for past 13 months with mild relief at best thus far with various treatments.  Should I consider surgery, and if so which procedure.  I have consults with ortho spine and neuro surgens soon.  Help!!!
2 Responses
Avatar universal
Hi there. The choices that you have with so many multiple disc lesions is NSAIDs and epidural steroid injections. physiotherapy would help and surgical decompression of the bulging discs is the definitive treatment. I suggest that you consult a pain physician and physiotherapist also before you agree for surgery. Also discuss the prognosis after surgery in detail with your surgeon.  Take care.

Avatar universal
I have taken several NSAIDs for the past 6 months, recieved 3 epidural steroid injections, and been in phys therapy for around 5 months.  Surgical decompression = fusion? I am currently in pain management with pills ESIs and other crap with no improvement.
Have an Answer?

You are reading content posted in the Neurology Community

Top Neurology Answerers
620923 tn?1452915648
Allentown, PA
5265383 tn?1483808356
1756321 tn?1547095325
Queensland, Australia
1780921 tn?1499301793
Queen Creek, AZ
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease