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Disc herniation in L4-L5, persistent pain. Undergone physiotherapy. Will epidural injections help?

I had slight herniation in discs L4-L5 about an year ago .. Took the necessary medication course , physiotherapy course and have been doing the suggested exercises regularly ever since .. but the pain is still there and still not able to bend properly or lift weights .. should I go for surgery or for epidural injections?
Asked On : Thu, 31 Jan 2013
Answers:  2 Views:  105
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Neurologist 's  Response
The disc herniation is probably causing compression over the nerve roots and that is causing pain. The disc herniation is only slight so it is not an urgent indication for surgery. You may first take epidural injection and see the response. It will relieve your pain and if during that time the disc heals you may not need any more interventions. So I would suggest that you undergo epidural injection at present and keep the surgical option (if at all needed ) for future.
Good luck.
Answered: Thu, 31 Jan 2013
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Radiologist Dr. Ganesh Sanap's  Response
Hi, welcome to HCM.
Good query. After physiotherapy if there is no decrease in symptoms, you can opt for epidural injection of steroids.
It should be taken at 2 weeks duration . Total of 2 injections only. There after symptoms persists , operation is the choice. However it will better to consult your orthopaedician for detailed opinion and possibility of cure by each modality.

Hope I have answered your query.
Answered: Thu, 31 Jan 2013
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