Diagnosis: PIVD L4-5 & L5-S1 With LEFT L4 &L5 RADICULITIS
& LEFT L4 & L5 RADICULOPATHY
For your case, at the time of presentation, you could have been treated conservatively for 3 weeks with bed rest
& symptomatic medications & no traction at all. Considering progressive neurodeficit viz. foot & toe affection & calf, you are a candidate for POSTERIOR DECOMPRESSION OF LEFT L4 & LEFT L5 NERVE ROOT
AT L4-L5 & L5-S1 LEVEL. With surgery you can appreciate reversal of weakness & recovery sooner from first 24hrs of surgery up to 3 months similar to absolute conservative treatment algorithm of mine.
I wish you all the best.
Dr Vijaykumar Sadulwar,
M.S. ORTHOPAEDICS & FELLOW IN SPINE SURGERY