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afraid that i have to make a surgery

L4-5: grade I anterolisthesis with central disc herniation significant compression to thecal sac.. that s what i read in my report and im afraid that i have to make a surgery.. am i have to?
Asked On : Tue, 11 Jan 2011
Answers:  2 Views:  521
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Thoracic Surgeon 's  Response
TREATMENT OPTIONS: SURGERY VERSUS CONSERVATIVE CARE

One of the most surprising discoveries regarding treatment options for disc herniation-induced radiculopathy is that disc surgery and conservative non-surgical treatment work the same with respect to over-all long-term improvement. The only advantage disc surgery has is that it often get the injured person out of pain faster and back to work fast IF they have the surgery in time and they are a proper candidate. There is, however, an important exception to this rule for patients who are forced into disc surgery because (1) they simply can't stand the pain, (2) they have a progressive worsening of neurological symptom (i.e., worsening of muscle weakness in the upper or lower extremities) and (3) the development of the dangerous cauda equina syndrome. All of the latter three conditions are surgical musts in most cases.
dr.rajiv
Answered: Wed, 12 Jan 2011
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Rheumatologist Dr. Vivek Saboo's  Response
hi

please don't get panic .

mostly u will recover with conservative treatment, initially with medicines then some medicines + exercise regime and then you should regularly do your exercise program .


in case conservative treatment fails then u can go for surgey.
Answered: Fri, 14 Jan 2011
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