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  • ftkm92
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    Post count: 28

    I just found that I have another herniation at L4L5 level that pinched the Left L5 nerve root. My eng shows I have radiculopathy at L5 Nerve root.

    I been doing physiotherapy for more than one year. The physiotherapy and hydrotherapy that I did for one year is for my SI joint pain and also left leg pain at S1 area. I am also on oxycontin, oxynorm, lyrica,tramadol and panadol for my left leg pain due to previously herniated disc at L5S1 level. My emg says my S1 nerve is ok and that problem now is L5 nerve root.

    Some of my doctors says my new extrusion disc is not a rush for surgery. One of the doctor suggested surgery. My epidural lysis procedure was a failure .

    Need your advice should I continue physiotherapy and hydrotherapy or have surgery done?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    This is a thread with two separate participating individuals. Reading this thread leads to some confusion. For individuals wanting to participate on this forum, when you read this, please try to start your own thread.

    Dealing with herniated discs and the lumbar spine, the EMG test is generally not valuable as this test will not detect leg pain, only motor deficits. Motor deficits consist of only about 20% of all lumbar disc herniations.

    You have had a year of leg pain with failed physiotherapy and epidurals and are currently on significant amounts of medications (“oxycontin, oxynorm, lyrica,tramadol and panadol”). It sounds like you need to consider surgery. Especially with another level of herniation, get this fixed surgically.

    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.
Viewing 2 posts - 7 through 8 (of 8 total)
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