HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Pain In The Legs While Walking?

Hello. My name is momand.and my problem is that I cannot walk more than 5 minutes. After 5 I feel dificult in walking and feel pain in my leg.I went to the doctor he said that you have herniated disk lwk4/5 problem.this is the doctor reports. (The presentation took place with the detection of high-grade spinal canal stenosis LWK 4/5 intervertebral disc disease. Anamnestically, the patient states, for several months under a pronounced Claudicatio spinalis - Symptomatik to suffer. He could not walk more than 4-5 minutes And then had to stop, because the pain lumbar with radiance in the Dermatom L 5 left almost unbearable. In this MRT of the LWS of 28.06.2016 is a large intervertebral disk incident LWK 4/5 with narrowing of the spinal canal, as well as an additional spinal canal stenosis In this area, which lead to a massive compression of the nerve fibers. With the patient was detailed about the possible conservative and operational Therapy possibilities. We recommend a sequestrectomy, as well as a lumbar Decompression in this area.) The doctor said that you have two option one is surgical operation and the second is physiotherapy. But the surgical operation is risky. Now I don t know what I do.and what is better for me.please give me usefull advise. Thanks
Mon, 7 Nov 2016
Report Abuse
General & Family Physician 's  Response
Hi there,

I understand that you are hesitant for surgery, and I also understand the position of your doctors who are suggesting surgery. This is because we can already see that your disc problem is pinching your nerves, which is what is causing your pain. This means that it is more likely that the surgery will be successful in relieving your pain. Unfortunately there is no one single best option, and everyone will have their own preferences and opinions.

One important point to consider is whether you have residual numbness or discomfort even at rest. If this is so, it is highly likely that there is already damage to the nerve, and surgery is definitely preferable.

Otherwise, there is time to try physiotherapy and medication first, or even treatment with a chiropractor, and see how it goes for a few months. Some people find that this combination brings down the swelling in the nerve enough that they are left with symptoms that are bearable and they can live with, which makes surgery unnecessary. It doesn't fix the problem, but if it doesn't stop you from functioning daily, then you don't need to fix it.

If there is not much improvement and you continue to be disabled by the pain, then the risk of the surgery may be worth it. There is the possibility that the problem will come back again because disc disease may happen at several levels and not just one, but you can't make decisions on a current problem based on what may or may not happen in the future.

So yes, go ahead with physiotherapy or the chiropractor's and medication for a few months. However, do not be afraid of going for the surgery if the physiotherapy doesn't work well and the alternative means that you are so disabled by the pain.

Hope this helps, and all the best to you.

Regards,
Dr. Teh
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Pain In The Legs While Walking?

Hi there, I understand that you are hesitant for surgery, and I also understand the position of your doctors who are suggesting surgery. This is because we can already see that your disc problem is pinching your nerves, which is what is causing your pain. This means that it is more likely that the surgery will be successful in relieving your pain. Unfortunately there is no one single best option, and everyone will have their own preferences and opinions. One important point to consider is whether you have residual numbness or discomfort even at rest. If this is so, it is highly likely that there is already damage to the nerve, and surgery is definitely preferable. Otherwise, there is time to try physiotherapy and medication first, or even treatment with a chiropractor, and see how it goes for a few months. Some people find that this combination brings down the swelling in the nerve enough that they are left with symptoms that are bearable and they can live with, which makes surgery unnecessary. It doesn t fix the problem, but if it doesn t stop you from functioning daily, then you don t need to fix it. If there is not much improvement and you continue to be disabled by the pain, then the risk of the surgery may be worth it. There is the possibility that the problem will come back again because disc disease may happen at several levels and not just one, but you can t make decisions on a current problem based on what may or may not happen in the future. So yes, go ahead with physiotherapy or the chiropractor s and medication for a few months. However, do not be afraid of going for the surgery if the physiotherapy doesn t work well and the alternative means that you are so disabled by the pain. Hope this helps, and all the best to you. Regards, Dr. Teh