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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Sevevre Siatica Pain. Taking Painkillers, Epidural And Other Medication. Advised For A Surgery. What To Do?

hi dr keerthi...my husband has severe siatica pain for last 6 wks ..now it's unbearable for him..he can't even use washroom..His MRI shows PLID ..HE Is using painkillers and other medications plus he had EPIDURAL a day before yesterday but severe pain pain persists ..now doctors have advice him surgery..I am worried as i have heard 1st time in my life for surgery of vertebra and spine...what do you suggest for him?
Mon, 20 May 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,
Sciatica is initially managed medically or in a conservative manner, but when these options fail, surgery remains the only solution.
Pain killers and non steroidal anti inflammatory drugs are usually first drugs used. Thereafter, steroids can be introduced. Epidural injections are continued if pain persists.
Drug resistant sciatica, resistance to epidural injections and sciatica causing paralysis are indications for surgery. An early surgical intervention could improve the outcome. Weight loss in some patients could improve outcome.
Thanks for your query and best regards,
Luchuo, MD.
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Have Sevevre Siatica Pain. Taking Painkillers, Epidural And Other Medication. Advised For A Surgery. What To Do?

Hi and thanks for the query, Sciatica is initially managed medically or in a conservative manner, but when these options fail, surgery remains the only solution. Pain killers and non steroidal anti inflammatory drugs are usually first drugs used. Thereafter, steroids can be introduced. Epidural injections are continued if pain persists. Drug resistant sciatica, resistance to epidural injections and sciatica causing paralysis are indications for surgery. An early surgical intervention could improve the outcome. Weight loss in some patients could improve outcome. Thanks for your query and best regards, Luchuo, MD.