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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Sciatic Pain. Took Gabapentin. MRI Shows Mild Impingement On To Descending Nerve Roots. Best Treatment?

am 59 year old femal i have right sciatic pain started one month ago i took NSAD and Gabapentin but still ihave pain more on exersion. idid MRI which showed mild disc bulge L3/L4 L4/5 WITH indentation of the thecal sac at L4/L5 also facet joint arthropathy at L4/L5 on the right associated small synoval cyst about 5mm size this causing mild impingement on to right descending nerve roots. my guestion what is the best treatment?
Wed, 2 Apr 2014
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Orthopaedic Surgeon 's  Response
Medication as you are taking to start, with as most cases of pain due to nerve root impingement will improve with time. If your pain persists beyond 8-12 weeks then a CT guided nerve root injection with cortisone could help with the pain. The last resort would be surgical nerve root decompression
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Have Sciatic Pain. Took Gabapentin. MRI Shows Mild Impingement On To Descending Nerve Roots. Best Treatment?

Medication as you are taking to start, with as most cases of pain due to nerve root impingement will improve with time. If your pain persists beyond 8-12 weeks then a CT guided nerve root injection with cortisone could help with the pain. The last resort would be surgical nerve root decompression