jpinpainMemberApril 25, 2013 at 11:17 amPost count: 2
hi, I had an mri done and the result shows a disc is pinching a nerve in my lower back. I’ve been in a lot of pain in my right hip and down my right leg for the last two or three months. the doctor recomend surgery. is there anything else that could be done that instead of surgery. also, what kind of surgery is it? can a TLIF work for this? thank you in advanceDonald Corenman, MD, DCModeratorApril 25, 2013 at 7:13 pmPost count: 8459
Significant nerve pain due to a disc herniation that has been present for two to three months is at the point where surgery should be considered. If there is motor weakness involved, surgery should take place in my opinion soon. If motor weakness is not present, you could try epidural steroid injections if you wanted to continue non-surgical treatment.
TLIF procedures are not generally used for disc herniations as the TLIF is a fusion procedure and fusions are not needed for primary leg pain (with some exceptions). A microdiscectomy is most likely the procedure of choice. See the section on microdiscectomy to understand this procedure.
Dr. CorenmanjpinpainMemberApril 26, 2013 at 7:44 amPost count: 2
Thank you so much. I’m not quite sure what motor weakness is. What would be considered motor weakness? thanks againDonald Corenman, MD, DCModeratorApril 28, 2013 at 11:20 pmPost count: 8459
Motor weakness is the lack of power of a muscle group that is neurologically mediated. Muscle weakness can occur from pain inhibition, joint disorders and mechanical injury (Achilles tendon rupture). When the weakness is generated from nerve injury, normally from nerve compression (herniated disc in the lumbar or cervical spine), this is neurological motor weakness. An easy way to test this in the lower extremities is to heel and toe walk. Inability to maintain the heel or toes off the floor with prolonged walking is a sign of motor weakness. Also, repetitive one-legged squats will indicate strength or weakness of the quad muscles.
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