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  • Tracy
    Participant
    Post count: 11

    Dr. Corenman,

    I just had another MRI done on Monday and Tuesday I went to see my surgeon. The MRI showed a small recurrent herniation in the L5-S1 disc. Is this common? Prior to MRI I had bad neuropathy not a lot of pain just numbness and back discomfort. My surgeon requested to get an epidural. Also he said no heavy lifting. Should I be concerned or is this common and patients live with this? I do take Percocet 5mg 2 to 3 times a day for the numbness and discomfort. Is it possible that I might need laminectomy/ discectomy surgery again? Thank you so much.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    Small recurrent disc herniations are somewhat common (in the range of 10-15%). As long as the symptoms are “annoying” but not “incapacitating”, I would agree that an epidural steroid injection (ESI) would be a good treatment tool along with physical therapy. Recurrent herniations should be treated somewhat like the original herniation. Conservative care (including an ESI) if symptoms are tolerable and improving and there is no significant muscle weakness.

    Dr. Corenman

    Tracy
    Participant
    Post count: 11

    Hello Dr. Corenman,
    Thank you for your answer. Can yo explain what would be muscle weakness? I did have to up my Percocet 5mg for 3x a day. I hope the epidural will help. Thank you again.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    An L5-S1 disc herniation can cause either an L5 or an S1 nerve compression. See this to understand how to test for motor weakness.
    https://neckandback.com/conditions/home-testing-for-leg-weakness/

    Dr. Corenman

    Tracy
    Participant
    Post count: 11

    Dr. Corenman,

    I had the epidural today. I try to be optimistic however deep down I feel it probably will not work. I had to start to take my Percocet 3x a day now which is 5mg. If I was to forward my mri disk and medical record is it possible for you to look at it. How much would you charge to explain best treatment? I would also forward report. My care has cost me a lot out of pocket. I worry about having surgery again. Thank you.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    Please contact my manager Lori Fugate at (888) 888-5310 to get updated on what a long-distance consultation entails.

    Dr. Corenman

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