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Patchogue, NY
A 39-year-old female asked:

L4-5 loss of disc signal central disc protrusion ind. thecal sac. mild facet disease & central stenosis. l5-s1 loss of disc signal & shallow disc protrusion ind. thecal sac. mild central stenosis. is surgery only option?

2 doctor answers2 doctors weighed in
Dr. Maxim Tyorkin
Sports Medicine 23 years experience
Try Non-operative : First treatment option would always be physical therapy/rehab to strengthen core muscles groups. If that fails then epidural and or/facet injections using either steroid or plasma rich platelets. If that all fails then surgery would be last resort.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Bennett Machanic
Neurology 54 years experience
Back surgery: Most neurologists would say not to do back surgery unless there is progressive and unrelenting pain, and/or increasing weakness, muscle atrophy, and ongoing urinary or bowel symptoms. NB: nowadays, we have amazing non-surgical physical therapies and rehab. Furthermore, many radiology studies show ruptured discs can dry out and shrink over 7-10 months.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 21, 2020


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