Donald Corenman, MD, DC
Moderator
Post count: 8436

You have provided some confusing information as it appears you have neck and lower back pain but mix these two symptoms up when you describe your pain.

I assume that your lower back is the main pain generator. Your symptoms could possibly be from the “Minor bulging of the L4-5 disc (1mm or less)” but that would be unusual. You might have a pars or facet fracture that might have been missed. I would ask the radiologist to reevaluate the films to look for this possibility. A CT scan might be necessary.

I am a fan of epidural injections. The steroid works well to reduce the inflammation of the nerve roots and this might last for some time. You would need a thorough surgical work-up before any surgical plan would be advised. Your pain generator in your lumbar spine is yet to be discovered.

Dr. Corenman