A member asked:

F 43 sciatica many yrs recent ct scan shows severe protruding l4 & l5 disc.dad died from multi myloma,wat r the chance need neurosurgery n cancer?

2 doctors weighed in across 2 answers

Disc change vs. MM: Bulging or protruding discs are often seen on spine imaging. Sometimes seen without severe back symptoms. Without signs of severe disc damage (herniation) or nerve damage, it is usually managed conservatively & without surgery. Doesn't cause MM Multiple Myeloma-different. Cancer abnl prod. of blood cells (plasma cells), affects bone and organs - Cont with routine physicals, screening labs CBC

Answered 10/28/2015

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Duration of symptom?: There are about 4 good reasons to fix/repair a disk and persistent leg weakness is one of them; especially if affecting your gait or if any muscle shrinkage(atrophy). If you failed all conservative treatments & symptoms persist after 6 months, you may benefit from surgery. Dr. Stan Lee in Michigan does these kind of second opinions and is very knowledgeable and conservative in his approach.

Answered 9/29/2016

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