A member asked:

Having a esi injection for a nerve problem in the leg, ankle, thights, knee, also other discs bulging.what is the next step after that?

5 doctors weighed in across 3 answers

Prolotherapy: There is a 5-7 year process for these types of problems to heal. If this isn't surgical, consider prolotherapy injections, that will strengthen supporting structures, so that pressure is taken off of the nerve. Also, gentle osteopathic or chiropractic manipulation may help. Also, lumbar traction is sometimes useful.

Answered 7/29/2013

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Many: Try nerve pain meds such as lyrics, cymbalta, (duloxetine) nerontin, neremedy, Elavil etc. There are implantible pain devices that can be very effective in reducing pain likethis. Even your shoes and a custom made foot orthotic can have tremendous effects on these symptoms. Of course, there is pain mgmt dr.S, , injection therapy, epidural injections, pain meds, anti- inflammatories and surgery.

Answered 6/25/2014

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Depends: Sometimes, epidurals are repeated if the first one provided good relief. If your symptoms are attributable to a disc bulge, surgical or percutaneous discectomy may be recommended.

Answered 1/8/2015

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