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Disc extrusion between L4 and L5. Pain in right leg. Recommend remedy

I have a disc extrusion between the L4 L5 region and is giving me pain in my right leg. It is a nagging pain and I am able to attend to my routine office work. I am active and also drive a car. The orthopedician and the neuro surgeon says that there is a slight weakness in my right toe. The orthopaedician says that I can go for a nerve block for eliminating the pain. He also feels that since I am active surgery is now not indicated. The neurosurgeon on the contrary says that I must go for micro discectomy.. I need an opinion.
Asked On : Fri, 19 Apr 2013
Answers:  1 Views:  28
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

It is clear that your symptoms (pain and toe weakness) are due to disc prolapse at L4-5 level.

Both epidural injections as well as surgery are good options. However, the decision depends on the degree of disc prolapse and patient's symptoms.

I know your doctor is the best judge, as they have examined you, but I would feel that surgery may be delayed by a few weeks, and injection given a chance first, as it is simpler and less invasive.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

My personal URL on this website:

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Answered: Fri, 19 Apr 2013
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