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History of double spinal fusion. Have leg pain. CT scan shows foraminal herniation. Treatment options?

I am 10 years post of from a double spinal fusion L4-L5 and L5S1, have experienced mild to moderate pain over the years but have been able to go about my adls and even work part time as a registered nurse. Suddenly this last Wednesday I suffered from debilitating pain down both legs front and back, not so much in the lower back but horrific down my legs. A CT scan taken yesterday shows a left foraminal herniation at L23 and a small broad based herniation also with asymmetry to the left. Post op laminectomy defects are identified on the left of L4-5 and the right and L5-S1. What are my treatment options?
Asked On : Sat, 23 Feb 2013
Answers:  1 Views:  16
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Neurologist 's  Response
Nov 2013
Thank you for posting your query.
It is unfortunate that you have developed symptoms due to foraminal stenosis at another level (other than the operated levels).
The initial options include use of neuropathic pain medications such as pregabalin or gabapentin, and physiotherapy. There are good chances that you would improve with these measures. In some cases, epidural injections may be required.
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,
Answered: Sun, 14 Jul 2013
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