A member asked:

Mri shows foraminal stenosis l5-s1, l4-5, l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. l leg is numb & painful. surgery?

7 doctors weighed in across 3 answers

Would Need More Info: In general, i would need more symptoms, but what you are describing with your symptoms and the results of the mri, i would first recommend physical therapy and epidural before considering surgery. Really depends on your examination and whether there is any weakness. I would check with your doctor.

Answered 3/19/2016

4.3k views

Thank
Dr. Qamar Khan answered

Specializes in Pain Management

Surgery Last Resort: I would consult a fellowship trained spine/pain specialist to see your options. You may need surgery or you may not. If you haven't tried epidural steroid injections first, that may be your best bet first.

Answered 11/27/2017

4.3k views

Thank

Low back surgery is typically clearly indicated when there is progressive muscular weakness and atrophy, involvement of urinary dysfunction, progressive unrelenting pain unresponsive to conservative measures. Otherwise, as has been mentioned, would try injections, physical therapy, and exercise. The latter two might initially employ therapy in a warm pool

Answered 1/18/2023

0 views

Thank

Related Questions