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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Back Pain With Pinched Nerve

I was diagnosticated with l4 herniated disc. I have not seen my othopedic surgeon. I have a persistent pain in my lower back with pinched nerves. My legs are fine just a little weaknes. I am afraid what goona be the best treatment for me. Also i am under worjers compensation caused by a sudden fall. I feel very uncontrable because i am having pain all time. What you think about my case? What the riska about a surgery option?
Tue, 21 Apr 2015
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Orthopaedic Surgeon,  's  Response
Dear patient
We have to first look at your mri report? So what your mri report suggests and what are your complaints both decides line of treatment. So if mri not done already get it done from reputed mri centre. If mri report is suggestive of spinal canal narrowing more than 50 % with pain and radiating pain in Lower limbs surgery is needed to remove disc. If spinal canal narrowing is mild with clinical symptoms of radiculopathy it can be managed with short course of steroids , pregabalin and bed rest. If you are having pain all the time with significant restrictions in daily life activities surgery is better option. Now a days endoscopic approach with minimal incision is available and is safe. Please take visit to expert spine surgeon and get yourself examined. ALL THE BEST.
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Suggest Treatment For Back Pain With Pinched Nerve

Dear patient We have to first look at your mri report? So what your mri report suggests and what are your complaints both decides line of treatment. So if mri not done already get it done from reputed mri centre. If mri report is suggestive of spinal canal narrowing more than 50 % with pain and radiating pain in Lower limbs surgery is needed to remove disc. If spinal canal narrowing is mild with clinical symptoms of radiculopathy it can be managed with short course of steroids , pregabalin and bed rest. If you are having pain all the time with significant restrictions in daily life activities surgery is better option. Now a days endoscopic approach with minimal incision is available and is safe. Please take visit to expert spine surgeon and get yourself examined. ALL THE BEST.