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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can sciatica pain be treated despite being on spinal injections, undergoing laser surgery and physical therapy?

Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 11543 Questions

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Posted on Fri, 14 Dec 2018 in Bones, Muscles and Joints
Question: I have been suffering w siatica pain for 40 years. Had numerous spinal injections, they don t help any more. Years of prednisone which affected my Glaucoma. Had bi later laser surgery for this. Physical therapy, excersize made pain worse. On Gamma Goblin 7.5 Grams, so can't take ibuprofen. Do you have any suggestions to releave this severe pain? Also Scoliosis, herniated disc 3,4. Yep I am 81. Tough situation.
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Answered by Dr. Praveen Tayal 1 hour later
Brief Answer:

Surgery is the only option.

Detailed Answer:

Hello,

You have already tried steroids and spinal injections with no improvement. Now surgery is the last option left to relieve the pain of nerve compression.

Medicines like Tramadol and Pregabalin with Methylcobalamin supplements can help you temporarily till the time you plan for the surgery.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Praveen Tayal 54 minutes later
2 orthos adviced no surgery. Thanks for answer.
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Answered by Dr. Praveen Tayal 11 hours later
Brief Answer:

TENS can help.

Detailed Answer:

Hello,

If surgery is not an option due to your physical condition then we are left with medicines like pregabalin or gabapentin and methylcobalamin supplements with alternative therapies like TENS or acupuncture.

Hope I have answered your query.

Take care

Regards,
Dr Praveen Tayal, Orthopaedic Surgeon
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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