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.
L4-5: grade I anterolisthesis with central disc herniation significant compression to thecal sac.. that s what i read in my report and im afraid that i have to make a surgery.. am i have to?
TREATMENT OPTIONS: SURGERY VERSUS CONSERVATIVE CARE
One of the most surprising discoveries regarding treatment options for disc herniation-induced radiculopathy is that disc surgery and conservative non-surgical treatment work the same with respect to over-all long-term improvement. The only advantage disc surgery has is that it often get the injured person out of pain faster and back to work fast IF they have the surgery in time and they are a proper candidate. There is, however, an important exception to this rule for patients who are forced into disc surgery because (1) they simply can't stand the pain, (2) they have a progressive worsening of neurological symptom (i.e., worsening of muscle weakness in the upper or lower extremities) and (3) the development of the dangerous cauda equina syndrome. All of the latter three conditions are surgical musts in most cases.
dr.rajiv
mostly u will recover with conservative treatment, initially with medicines then some medicines + exercise regime and then you should regularly do your exercise program .
in case conservative treatment fails then u can go for surgey.
I find this answer helpful
1 Doctor agrees with this answer
You found this answer helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Afraid That I Have To Make A Surgery
TREATMENT OPTIONS: SURGERY VERSUS CONSERVATIVE CARE One of the most surprising discoveries regarding treatment options for disc herniation-induced radiculopathy is that disc surgery and conservative non-surgical treatment work the same with respect to over-all long-term improvement. The only advantage disc surgery has is that it often get the injured person out of pain faster and back to work fast IF they have the surgery in time and they are a proper candidate. There is, however, an important exception to this rule for patients who are forced into disc surgery because (1) they simply can t stand the pain, (2) they have a progressive worsening of neurological symptom (i.e., worsening of muscle weakness in the upper or lower extremities) and (3) the development of the dangerous cauda equina syndrome. All of the latter three conditions are surgical musts in most cases. dr.rajiv