HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

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

Severe Sciatic Pain, MRI Shows Stenosis, Bulging Disk. Zpack Provides Temporary Relief. Surgery ?

i have been having severe sciatic pain for 4 months, mri showed stenosis and bulging disk L 4-5, have taken zpack whiched helped 3 days and having pain again, my doctor has ordered and epidural,,wondering if this is wise, or should i go for surgery. or will the epi be enough. will i eventually need surgery.. i have such spasms that i cant walk at times.
Tue, 8 Oct 2013
Report Abuse
Neurologist,  's  Response
Hi,
Thank you for posting your query.
The pain is related to the slipped disc and pinching of the nerve at the lower back.
Initial treatment consists of medications such as pregabalin and gabapentin. Physiotherapy is also helpful.
If the pain does not improve with above, then epidural injections and surgery are the next options.
Epidural is a standard procedure, and I think you should go for that now. Surgery can be reserved for last.
I hope it helps.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

I find this answer helpful

1 Doctor agrees with this answer

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
 

Related questions you may be interested in


Recent questions on Regional anesthesia


Loading Online Doctors....
Severe Sciatic Pain, MRI Shows Stenosis, Bulging Disk. Zpack Provides Temporary Relief. Surgery ?

Hi, Thank you for posting your query. The pain is related to the slipped disc and pinching of the nerve at the lower back. Initial treatment consists of medications such as pregabalin and gabapentin. Physiotherapy is also helpful. If the pain does not improve with above, then epidural injections and surgery are the next options. Epidural is a standard procedure, and I think you should go for that now. Surgery can be reserved for last. I hope it helps. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/