Doctor insights on:
How Do They Decide If You Need Surgery For A Herniated Disc
Refractory symptoms : Herniated disk surgery should only be considered in the presence of all 3: a)mri evidence of a herniation that is visibly pinching a nerve b)symptoms of a pinched nerve that anatomically corresponds well with MRI evidence c)meds, pt, and epidural injections are first considered. A good predictor of successful surgical outcome is increased nerve pain with nerve tension on exam(straight leg raise). ...Read moreSee 1 more doctor answer
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
How does a doctor determine if you need surgery for L4 L5 disc if you have a tear and disc protrusion?
Decades of Training: Your surgeon will first have to ensure that your symptoms are coming from the pathology you mentioned. There are various ways of figuring this out. Surgery is only recommended as last resort after failure of non-surgical treatments including pt, nsaids, epidural injections. Typically surgery is not a good option if you only have back pain, or if the disc is not pushing on a nerve. ...Read moreSee 1 more doctor answer
If you are not ...: If you are not getting better after 12 weeks of care & the symptoms are such that you cannot or will not live with them & your leg pain is worse than your back pain, if you even have any back pain, ; & your exam reveals findings consistent with a disc herniation & it is demonstrated on an imaging study compressing the appropriate nerve & you are healthy enough for surgery, then you have reason! ...Read moreSee 1 more doctor answer
IF: You have chronic lower back pain that is related to spinal instability that does not respond to a well directed conservative treatment program, then a fusion may be necessary. Only a spinal surgeon can tell you if a fusion is necessary. Therefore, would recommend that your pcp evaluate you and refer you to the appropriate specialist. ...Read more
Do you think I should be looking for an orthopedic or neurologist doctor to operate on a herniated disk?
" bulging disk": Initial treatment for symptomatic bulging disc is conservative (eg physical therapy, non-opioid analgesics, etc.) and also addresses preventative measures. Depending on severity of the symptoms, injections for pain control may be utilized. For more severe cases, surgery may be indicated. The course of treatment is determined by symptoms and objective findings. ...Read moreSee 1 more doctor answer
Epidural: Maybe you mean a spinal....Very common for many trans urethral procedures.... ...Read more
Pain: If you have pain on a daily basis, the pain prevents you from doing things you would ordinarily do. If you have tried or oral anti-inflammatories and injections with cortizone (hydrocortisone) and they have not helped. You should also have x-rays that show advanced degenerative joint disease. ...Read moreSee 1 more doctor answer
If you are an ophthalmologist, how do you have any qualification to discuss what a chiropractor actual does and how successful they are?
Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read moreSee 1 more doctor answer
You save money and: You have a 90% chance of getting better on your own, the same success as if i were treating you non operatively although i could make you more comfortable physically and mentally while your body healed itself as well as giving you advice as to how to minimize its recurrence. ...Read moreSee 1 more doctor answer
Herniated: A herniated disc usually does not need surgery, over 90% of the time! but it really depends on the unique situation! and severe symptoms need proper evaluation. Conservative treatment is usually all needed, but there is a trend to mistreat people who need early surgery because of neurological damage. For nerve damage get early evaluation at a high level. ...Read moreSee 1 more doctor answer
I will see a new doc who will determine if surgery for pilonidal cyst is medically necessary. What should I say to convince him? Hurts? Growing?
I have no insurance or money to see a doctor, what can I do to treat a possible spinal disc disease/disk stenosis?
Core strengthening: Most treatment plans for back injuries begin with strengthening core (abdominal and lower back) muscle groups and increasing flexibility, particularly in the hamstrings and lower back. Yoga, pilates, and similar programs are very good at accomplishing these goals. Exercise programs based on cycling and swimming are low impact activities, very helpful in rehabilitation and prevention of back pain. ...Read moreSee 1 more doctor answer
- Talk to a doctor live online for free
- How do you get a herniated disc?
- How do you get a herniated disc in your back?
- Why do you get a epidural for a herniated disc?
- Ask a doctor a question free online
- How to know if you have a herniated disc?
- Herniated disc after surgery
- What to do for a herniated disc?
- How to lift weights after herniated neck disc surgery?
- Talk to a neurologist online