Most patients with low back pain(IVDP
) respond well to conservative therapy, including limited bed rest
, exercise and, in selected cases, injections.
have patience , it may take a 1 -2 weeks or more for pain relief .
consult an ortho surgeon.
Indications for surgery.
(1) cauda equina syndrome, (2) progressive neurologic deficit, (3) profound neurologic deficit and (4) severe and disabling pain refractory to four to six weeks of conservative treatment.