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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Disc Herniation With Central Canal And Foraminal Stenosis. Treatment?

I have a 7-8mm disc herniation at L5 S1 with severe central canal and foraminal stenosis . Any suggestions for treatment? I ve done oral steroid, anti inflamitory for 2 months,3 cortisone injections, physical therapy , chiropractor, scheduled for epidural . All to no relief. Suffering for 3 1/2 months. I m 95% bedridden. Can t stand or sit for more than 3 min at a time. I m 37 yr old female
Thu, 13 Dec 2012
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Neurologist 's  Response
Hi,

Thank you for posting your query.

I can understand your discomfort on account of your pain.

Lumbar disc prolapse causing nerve compression and pain is a common problem. In about 90% of patients, improvement occurs with the treatments you have had. However, 10 % of people do not improve with these measures.

Here, I feel, surgical decompression to release the compressed nerve is a good option. Please consult a neurosurgeon or spine surgeon for the same.

Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology)
drsudhirkumar@yahoo.com
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Disc Herniation With Central Canal And Foraminal Stenosis. Treatment?

Hi, Thank you for posting your query. I can understand your discomfort on account of your pain. Lumbar disc prolapse causing nerve compression and pain is a common problem. In about 90% of patients, improvement occurs with the treatments you have had. However, 10 % of people do not improve with these measures. Here, I feel, surgical decompression to release the compressed nerve is a good option. Please consult a neurosurgeon or spine surgeon for the same. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) drsudhirkumar@yahoo.com