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Disc bulging and disc degeneration causing nerve compression. Suffering from lower back pain, trouble in walking. Further treatment options?

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Spine Surgeon
Practicing since : 2002
Answered : 102 Questions
Hi I have Disc bulging and disc degeneration from two discs above the L1 lumber disc with the l3L4 causing nerve impingement.EMG says moderate L5 indication and Neurologist says the bulge is significant not sure if surgery will help.I have injured my back several times and have been off work several times with low back pain led pain more s right side now beginning to be on the left.Have had two MRIs first was four discs in Lumbar showing disc degeneration with an annalus tear at L3.Having trouble walking and have had a full urology check and waiting for results but my neurologist says he does not think my Bladder problems are form my back.
Posted Sun, 3 Jun 2012 in Stroke
Answered by Dr. Krishna Kumar 5 hours later
thank you for sharing your problem with me.
I understand you have back pain and leg pain with difficulty in walking. These symptoms are part of lumbar disc degeneration with spinal stenosis where the nerves get compressed by the disease process.
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 and spine is stabilized, which would significantly improve your symptoms
thank you
Above answer was peer-reviewed by
Follow-up: Disc bulging and disc degeneration causing nerve compression. Suffering from lower back pain, trouble in walking. Further treatment options? 7 hours later
Thank you, this has been ongoing for over twenty years so I am looking at the best long term solution.

I also get numb feeling not complete numbness in lower legs and around groin area more so when sitting.

I need to be able to work for at least another 10 years so a solution for this is very important for both my employment and family life.

Answered by Dr. Krishna Kumar 3 hours later
although your problem is chronic, if you have not tried the injections that I mentioned, please go ahead and try it; because some patients get good relief with that so a surgery could be avoided or postponed for few years. If you are not keen for the injection, please consider surgery after discussing with your spine surgeon
thank you
Above answer was peer-reviewed by
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