Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Disc Herniation In L4-L5, Persistent Pain. Undergone Physiotherapy. Will Epidural Injections Help?

I had slight herniation in discs L4-L5 about an year ago .. Took the necessary medication course , physiotherapy course and have been doing the suggested exercises regularly ever since .. but the pain is still there and still not able to bend properly or lift weights .. should I go for surgery or for epidural injections?
Thu, 31 Jan 2013
Report Abuse
Neurologist 's  Response
Hello,
The disc herniation is probably causing compression over the nerve roots and that is causing pain. The disc herniation is only slight so it is not an urgent indication for surgery. You may first take epidural injection and see the response. It will relieve your pain and if during that time the disc heals you may not need any more interventions. So I would suggest that you undergo epidural injection at present and keep the surgical option (if at all needed ) for future.
Good luck.
I find this answer helpful
Radiologist Dr. Ganesh Sanap's  Response
Hi, welcome to HCM.
Good query. After physiotherapy if there is no decrease in symptoms, you can opt for epidural injection of steroids.
It should be taken at 2 weeks duration . Total of 2 injections only. There after symptoms persists , operation is the choice. However it will better to consult your orthopaedician for detailed opinion and possibility of cure by each modality.

Hope I have answered your query.
Regards.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Regional anesthesia


Loading Online Doctors....
Disc Herniation In L4-L5, Persistent Pain. Undergone Physiotherapy. Will Epidural Injections Help?

Hello, The disc herniation is probably causing compression over the nerve roots and that is causing pain. The disc herniation is only slight so it is not an urgent indication for surgery. You may first take epidural injection and see the response. It will relieve your pain and if during that time the disc heals you may not need any more interventions. So I would suggest that you undergo epidural injection at present and keep the surgical option (if at all needed ) for future. Good luck.