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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Sciatica. Disc Reveals Posterior & Left Paracentral Herniation, With Slight Inferior Migration. Cortisone Injections?

Hi! My son is 31 years old and 2 months ago woke up with what we thought was Sciatica, has no medical coverage and then I sent him to a Chiropractor and was receiving treatment , but the pain has not subsided is worse, Chiropractor explained that after he took the X-rays, that an MRI was needed, agiam we had an MRI done on 3/18/2013
@ Piority MRI of Boca......has no coverage and is told that surgery is needed, can he get Cortisone injections to help at the Hospital? L5-S1: Disc reveals broad based posterior & left paracentral herniation, with slight inferior migration. t causes compressionof thecal sac, both L5 & S1 nerve roots and causes mild narrowing of the canal and neural foramina, bilaterally left morethan right).The Herniation measures 10MM in size.

Miniml retrolisthesis ofL5 vertbra over S1
Mon, 17 Jun 2013
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Neurologist 's  Response
Hi,
Based on details of MRI ,surgery is the treatment of choice. Epidural steroids (cortisone ) reduce the symptoms of neuralgic pain by reducing inflammation at site of disc which impinges nerve.

Suggest to go ahead with cortisone injection, lumbosacral belt and course of neuralgic drugs like pregabalin and methycobal preparations.

Consult Neurologist for clinical examination
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Having Sciatica. Disc Reveals Posterior & Left Paracentral Herniation, With Slight Inferior Migration. Cortisone Injections?

Hi, Based on details of MRI ,surgery is the treatment of choice. Epidural steroids (cortisone ) reduce the symptoms of neuralgic pain by reducing inflammation at site of disc which impinges nerve. Suggest to go ahead with cortisone injection, lumbosacral belt and course of neuralgic drugs like pregabalin and methycobal preparations. Consult Neurologist for clinical examination