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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Back Surgery Needed For Diagnosed Herniated Disc And Tear In L4, L5, S1?

I was diagnosed with a heniated disc and a tare l4 l5 s1 I m thinking meth is what happened to my back. I don t plan on using anymore. My question is will my back heal now or will I still need surgery? I already had 2 epidurals they have not helped. Oh and I am do not have any money left. I can t work again until I get my back fixed. Sorry pro bono please!!
Wed, 9 Apr 2014
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Spine Surgeon,  's  Response
Hi,
i saw your history sheet in which you mentioned your MRI finding but we want to treat you not your MRI because this finding may be find in even a non symptomatic person who lives his life without discomfort.
now
if you have only moderate to severe back pain which is less then 8-10 week -
DONT think of surgery.
if mild to moderate back pain >10 weeks-no need for surgery
if back pain with redicular leg pain >10 weeks and nontolerable LEG pain then only think of surgery.
Disc surgery primarily meant for leg pain and only for very severe back pain.
now you can try one more epidural injection from different surgeon.
main treatment is Physiotherapy.
Thanks
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Is Back Surgery Needed For Diagnosed Herniated Disc And Tear In L4, L5, S1?

Hi, i saw your history sheet in which you mentioned your MRI finding but we want to treat you not your MRI because this finding may be find in even a non symptomatic person who lives his life without discomfort. now if you have only moderate to severe back pain which is less then 8-10 week - DONT think of surgery. if mild to moderate back pain 10 weeks-no need for surgery if back pain with redicular leg pain 10 weeks and nontolerable LEG pain then only think of surgery. Disc surgery primarily meant for leg pain and only for very severe back pain. now you can try one more epidural injection from different surgeon. main treatment is Physiotherapy. Thanks