Some solutions ?: The ESI buys a little time but does not "cure" the pinched nerve. However, the disc may desiccate and shrink over 9-10 months, and improve outcome. Surgery here may be a drastic remedy, but may be useful when increasing weakness, atrophy, or urinary tract issues. I find physical therapy to be highly beneficial. Sometimes oral or injected steroids can stabilize.
Answered 4/20/2016
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