Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

188 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Severe sciatic pain, MRI shows stenosis, bulging disk. Zpack provides temporary relief. Surgery ?

i have been having severe sciatic pain for 4 months, mri showed stenosis and bulging disk L 4-5, have taken zpack whiched helped 3 days and having pain again, my doctor has ordered and epidural,,wondering if this is wise, or should i go for surgery. or will the epi be enough. will i eventually need surgery.. i have such spasms that i cant walk at times.
Tue, 8 Oct 2013
Report Abuse
Question is related to
Diseases and Conditions
Medical Procedures
Lab Tests ,  
Neurologist 's  Response
Hi,
Thank you for posting your query.
The pain is related to the slipped disc and pinching of the nerve at the lower back.
Initial treatment consists of medications such as pregabalin and gabapentin. Physiotherapy is also helpful.
If the pain does not improve with above, then epidural injections and surgery are the next options.
Epidural is a standard procedure, and I think you should go for that now. Surgery can be reserved for last.
I hope it helps.

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: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I have had sciatic pain for the last 4 months. Had an MRI done and it show bulging disk 2 in the lumbar and 1 in the sacrum. I have been doing private yoga (one on one) and the exercises in the basic back book, but its not getting better. I have an appointment with a pain management doctor next week (after 3 month wait). What will they do for me there? Do you think I will need surgery?

doctor1 MD

I am suffering from an acute sciatric pain.. Plz guide me about the treatment that i shoud go for...following are the results of my mri report. Lumbar spondyolosis with diffuse disc desiccation , diffuse disc bulge with posterocentral protrusion with annual tear at l4-l5 level causing bilateral foraminal narrowing widout definite nerve root compression, diffuse disc bulge with central and left paracentral protrusion at l5-s1 level causing bilateral foraminal narrowing with compression upon bilateral traversing nerve root (l greater than r) and secondary canal stenosis

doctor1 MD

Hello Sir, I m jordan 21 years,I had sciatic pain in my right leg for 3 months or so and it was much severe when I had cough and while I sneeze..later I went to the neurosurgeon ,he had an MRI done of my spine.The MRI report showed that I had a extruded disc at my L5-s1 disc with nerve root compression and caudal migration and a protruded disc at my L4-L5 disc with no nerve root compression .He told me that I should have surgery.then went to another orthopedics doctor at a famous hospital at chennai,India,where I was adviced surgery .I had undergone microdiscectomy surgery for my L5-S1 disc on 5th march.now its nearly 2.5 weeks .there is no severe pain in the leg right now,but still i feel some pain at times in the back of my right leg..and since last 3 days i have felt upper back pain my left side with some pain going to my left hand.I m really tense whether the operation is fruitful also if the protruded disc at my L4-L5 will cause any problem. However I attended college with a private car in the 2nd week of the surgery as i had low attendance problems in my college .

Recent questions on  Regional anesthesia

doctor1 MD

epidural landed in wrong place spine..now having tingling sensations throughout head and body what is the cause and what is 2 cc's the amount the dr. said he put in...at any rate it went in my spine I literally passed out and thought I was going to die..is this causing those tingling sensations?

doctor1 MD

I have a small sponge like ball right on my lower spine, that can move slight when i touch it , there is no pain, but I've had various back problems and pain including scoliosis, and a blood patch due to a epidural gone wrong that caused spinal fluid to leak from my brain.

doctor1 MD

how should a person be treated who has osteomyelitis in their system and is diabetic and has a big place on there leg like a boil and was told by a doctor that it is already infected and shouldn't be lanced. this person has a very bad heart and...

doctor1 MD

Hi my name is XXXXXXX i am 58 yrs.old i have been scheduled for blatter surgery 2 remove a golf ball size stone.I have never been put 2 sleep before and suffer from terrible anxiety .I take 1mg zanax ever day and have for over 10 yrs. for panic...

doctor1 MD

Hi i just did a test for creatinine and urea because 5 days back i went through an arthroscopy and regional anesthesia and since then ive been having very clear urine, frequent need to urinate, feeling nauseous, loss of appetite, constipated and...