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Suffer mild back pain, minor protrusion of disc which presses on the L5 S1 nerve route on the left side. Treatment?

i suffer mild back pain .I have a minor protrusion of the Disc which presses on the L5 S1 nerve route on the left side.I have full mobility and have ran the dublin marathon with this ailment in 4 hrs 27 . However I have tried physio, the advice and exercize routine given in Robin MC kenzies book etc but I still have the slight pain which very often extends down my left leg and causes slight numbness to my left foot.My quality of life is affected.I am 50 yrs old, and would really like to correct this for once and all
Asked On : Wed, 10 Apr 2013
Answers:  2 Views:  33
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Orthopaedic Surgeon 's  Response
Hello ,
Welcome at HCM.

I have read details of your question.

It looks that you are having prolapsed disc at L5-S1 & it is compressing over nerve root.This is reason for numbness & pain in foot.
Although with mild type of prolapse conservative treatment is prefeerred but if it si leading to numbness & pain which is aanoying you & affecting your life then you should go for surgery( for dissectomy).

There are various methods for this which include opening through large incision to opening through minimal incision.You should opt for surgery through minimal incision.For this you should consult to a neurosurgeon.

Hope this all will help you.

With best wishes.
Answered: Sat, 27 Apr 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Hello and Welcome to HCM,
Thanks for writing to us.
I understand you have back pain . These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc(in your case L5S1)
There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.
If you dont get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms.
Hope this helps you.
Wishing you good health...
Dr Saurabh Gupta.
Orthopaedic Surgeon.
Answered: Sat, 27 Apr 2013
I find this answer helpful
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