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Have a problem with Posterior tear intervertebral disc and diffuse disc bulge. Surgery needed? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How can I help you?
User:hello doctor, this is XXXXXXX
User:i require a suggestion to get my problem treated
Doctor:Proceed with your query.
User:i have a problem with:" Posterior tear at L5-S1 intervertebral disc
User:diffuse disc bulge with right paracentral prostrusion of l5-s1
User:causing compression over adjacent thecal sac and its contents with right neural foraminal obliteration
User:i have drafted, you, from a scan report
User:kindly suggest me, previosly doctor's(ortho) advices to have a surgery done
User:and i havn't done.
User:i want to cure this, pain that it was causing
Doctor:Have you seen a neurosurgeon/back surgeon for this problem?
User:by the way, which specialist i had to go with, either Ortho or Neuro
Doctor:Let me brief you XXXXXXX that will answer your queries.
Doctor:1. The issues like this one often results in chronic back pain.
Doctor:The scan reports right neural foramina obliteration at L5 and S1 disc space which is probably compressing the nerves arising from there.
Doctor:This is what is causing the pain.
Doctor:2. Surgery is an attempt to decompress the nerves in this narrowed foramina.
Doctor:However conservative treatment can be tried if the symptoms are not very severe or if there is a neurological deficit.
Doctor:3. Whether or not there is a severe compression / neurological deficit can be known by a detailed neurosurgical examination and a test known as EMG (electromyogram)
Doctor:I am not sure if the orthopedic you met have considered all these, yes, if the orthopedic is an experienced back surgeon he would have considered those.
User:r u there doctor
Doctor:It seems you have moved away from the chat window.
Doctor:Please login again if you have a medical query.
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