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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Recover From The Spine Deterioration?

Hi. I have had two Kaiser opinions from the ortho spine clinic. Have deteriorated spine x 30 yrs. Last 10 months with two herniated bulging discs L5/s1. Suggested only foramenectomy (fusion) and one said from the back the other from the front. What is the difference? The front surgeon said it would save damage over time disrupting other discs I already have and may need fusion down the road.
Fri, 29 Apr 2016
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Physical Therapist or Physiotherapist,  's  Response
hi,

thank you for providing the brief history of you.

A thorough neuromuscular assessment is advised.

Since you have herniated disc at L5 - S1 level and you have been advised for surgery? I wonder if you have tried physical therapy . As it is non invasive and can help recover if proper therapy is applied. Also, surgery is made to choice by surgeon is you have severe neurological symptoms of controling the lowerrl limbs during movement .

In my clinical practice most patients don't need surgery and all recovered well almost 99% with physical therapy.

Also, the area L5-S1 is a crucial area as it is a weight bearing joint, so as u have the maximum mobility and weight bearing at that area, dealing with a proper surgical procedure is needed.

Depending upon how your muscles are before and after the surgery by the help of a physical therapy.

Also, I had a case with 3 levels disc protrusion and a old fracture of 4 vertebrae but surgery was not needed. with proper assessment and guided physical therapy patient responded well and surgery was never done till date..

Regards
Jay Indravadan Patel
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How To Recover From The Spine Deterioration?

hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. Since you have herniated disc at L5 - S1 level and you have been advised for surgery? I wonder if you have tried physical therapy . As it is non invasive and can help recover if proper therapy is applied. Also, surgery is made to choice by surgeon is you have severe neurological symptoms of controling the lowerrl limbs during movement . In my clinical practice most patients don t need surgery and all recovered well almost 99% with physical therapy. Also, the area L5-S1 is a crucial area as it is a weight bearing joint, so as u have the maximum mobility and weight bearing at that area, dealing with a proper surgical procedure is needed. Depending upon how your muscles are before and after the surgery by the help of a physical therapy. Also, I had a case with 3 levels disc protrusion and a old fracture of 4 vertebrae but surgery was not needed. with proper assessment and guided physical therapy patient responded well and surgery was never done till date.. Regards Jay Indravadan Patel