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A 39-year-old female asked:

Mri-large disc bulge l5 s1. pain (hip/lower leg) some numbness to lower leg/foot & toes. suffering 10 weeks. will it heal on its own or need surgery?

4 doctor answers7 doctors weighed in
Dr. Jeffrey Kass
Podiatry 30 years experience
Would try : Physical therapy, stretching prior to surgery. Conservative tx is always recommended first.
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Dr. Jeffrey Bowman
40 years experience
10 weeks: Is a long time and if it hasn't gotten better it likely won't. See an orthopedic spine surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Tung Nguyen
Neurosurgery 33 years experience
Enough time passed: 8 to 12 weeks is an adequate time to allow non-surgical treatments, as you already received, to work. After that, it is unlikely that you will improve without surgery. Other important factors are your neurological exam, the size of the disc herniation, your pain level. At some point, the risk/benefit ratio tilts in favor of surgical treatment for immediate pain relief. See your spine specialist.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Galina Nikolskaya
Neurology 13 years experience
I had some patients with a disk bulge in L5S1 region with numbness in the leg, sometimes distal weakness; after a few months of suffering the symptoms would subside with improvement in both pain and strength. Depending on your age, anatomy and the size of the disk bulge, L5-S1 root compression can in some patients be helped with spine traction therapy -inversion table or inversions via yoga hamock
Feb 21, 2017
Dr. Galina Nikolskaya
Neurology 13 years experience
May not need surgery: I had some patients with a disk bulge in L5S1 region with numbness in the leg, sometimes distal weakness; after a few months of suffering the symptoms would subside with improvement in both pain and strength. Depending on your age, anatomy and the size of the disk bulge, L5-S1 root compression can in some patients be helped with spine traction therapy -inversion table or inversions via yoga hamock
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 28, 2017

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