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  • smostofa
    Participant
    Post count: 1

    I’m a 26 y/o F with no pMHx just beginning my residency and intern year. I have been having 6 months of radicular pain and symptoms of numbness tingling and shooting pain in my left leg traveling from my back to glute to lateral side of my leg to my pinky toe. It feels asif though a fishing rod was being pulled taut and I have SLR+ even 20 degrees above bed. Stoop positive. After 6 months of being told it was anxiety or muscular, I finally was able to get an MRI that showed A large 1.9 CM transverse x .9 CM AP x1.1 CM extrusion impinging the left lateral recess and S1 and s2. I have trialed PT NSAIDs oral steroids gabapentin muscle relaxers and nothing has helped. Is microdisectomy the only option here? Given your clinical experience and the size I’d appreciate guidance. It is difficult to deal with this as I start my career in medicine as well.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    If you have no motor weakness, you can consider an epidural steroid injection which can be life-changing. If however you have motor weakness, a decompression surgery should be considered.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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