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  • locus
    Member
    Post count: 3

    Hello Doctor,
    I am 57 years old. I have started getting lower back pain 2 weeks ago. I was admitted to hospital and there I had treatment to reduce my pain and also had physio therapy for 2 days. I stayed in hospital for a week, then started getting leg pain in one leg. However the pain has got less in the last 2 days. I did an MRI scan at the hospital and the surgeon said I need surgery asap otherwise my nerves might be affected.

    Although my leg pain has reduced a lot and I don’t have much back pain, I am scared that if I don’t have surgery my condition may get worse in the future. I would like to try other non surgical treatment.

    Can you please take a look at my MRI scan and give me a second opinion?

    Many many thanks

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    I assume that you had an initial annular tear (tear of the back of the disc) which caused your severe back pain. The disc then herniated (common) and you developed leg pain.

    If you have no motor weakness and you pain is abating, you can consider physical therapy and an epidural injection. If, however, you have weakness of a major motor group (limping due to quadriceps weakness or foot slapping due to tibialis anterior weakness), it is my opinion that surgery is necessary. See the section regarding when to have lower back surgery on this website for further discussion.

    Your MRI scan is not included that I can tell.

    Dr. Corenman

    locus
    Member
    Post count: 3

    Dear Dr Corenman,

    Many thanks for taking time to reply, your help is much appreciated.

    I tried to have read about more when to have surgery, but still very unsure whether I really need to undergo the surgery, including disc replacement.
    Would you please have a look at my MRI scan images.
    Is there an email address I can it to for you to have a look?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    I am not a fan of disc replacement for the lumbar spine. I think disc replacement for the cervical spine however does have a place.

    I cannot imagine that any discussion of disc replacement or even fusion for that matter is currently taking place if you have had pain for just two weeks. If your current predominant pain is leg pain, and there is no instability, I would assume that discussion is occurring regarding a micro decompression and nothing else.

    Typically, I need to see a DVD of the imaging studies. This allows me to see all the images, change contrast, compare different cuts and scan all the images. You can call the office and obtain information regarding sending the images.

    Dr. Corenman

    locus
    Member
    Post count: 3

    Hello doctor,

    I have the full DVD of the imaging studies. However I am in the UK. I can send you an email with a link to all the images in WeTransfer. I have tried to call your office and left a voicemail.
    My email is ravpictures.yahoo.co.uk

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    You can try that. I will see if I can view the images. This has been one of the unsolved issues for me to view images. Please send this contact information to my private email so no one else can view your images.

    Don’t worry about leaving a message as the number is new and will be answered.

    Dr. Corenman

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