Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Having Two Herniated Disks, L4&l5,l5&S1, Lower Back Pain, Taking Cap. Treatment?
I have two herniated disks. L4&l5,l5&S1. A central annular tear. Doctor diagnosis of: Lumbosacral neuritis Lumbar disk displacement Lumbosacral spondylosis In the last 18 months I ve undergone: 24 pt sessions with deep massage 5 lumbar epidural injections 1 branch medial block 8 months of zanaflex , nerotin and Vicodin . All this and my doctor still isn t considering surgery. The pain in my lower back isn t getting any better. Some says worse than when I sustained my injury at work. What treatments should I be talking to my doctor about? Been reading about radio frequency ablation ? My neurosurgeon said last case option would be a disk ectomy? My surgeons bed side manner is less than awesome. Just want some honest straight forward answers. Please any help would be greatly apprieciated.
As you have tried all other options and are still having severe symptoms, Surgical decompression of the disc is indicated, if you have severe radicular symptoms in legs (shooting pain down into the legs).
If you have only lower back pain, then Radiofrequency ablation (RFA) may be an option. This is quite helpful in relieving chronic lower back pain. The degree of pain relief varies, depending on the cause and location of the pain. Pain relief from RFA can last from six to 12 months and in some cases, relief can last for years. More than 70% of patients treated with RFA experience pain relief.
Hope this information is helpful. Good day
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Having Two Herniated Disks, L4&l5,l5&S1, Lower Back Pain, Taking Cap. Treatment?
RADIO FREQUENCY ABLATION may be tried,as it is non-invasive,and if there is no response,then opt for surgical discectomy.