10 doctors weighed in:

33yr male w pars fractures on both sides of l5, pain from L5 root nerve, facet injections and epi did not help, how do I know if I need surgery?High pain

10 doctors weighed in
Dr. Sathish Modugu
Pain Management
4 doctors agree

In brief: See below

Failure of conservative treatment is an indication for surgery.
If you cannot live with the pain or have weakness, surgical options would be appropriate.

In brief: See below

Failure of conservative treatment is an indication for surgery.
If you cannot live with the pain or have weakness, surgical options would be appropriate.
Dr. Sathish Modugu
Dr. Sathish Modugu
Thank
Dr. Thomas Namey
Internal Medicine - Rheumatology
3 doctors agree

In brief: Common.

Most of people with fractures if the pars have no symptoms, although slippage of one vertebra over another can, and pars defects causes this condition called spondylolisthesis.
Most grade 1-2 cases need no surgical issues. Grade3 & 4 do cause neurological sx. Speak to a qualified neurosurgeons or orthopedic spine surgeon to discuss!

In brief: Common.

Most of people with fractures if the pars have no symptoms, although slippage of one vertebra over another can, and pars defects causes this condition called spondylolisthesis.
Most grade 1-2 cases need no surgical issues. Grade3 & 4 do cause neurological sx. Speak to a qualified neurosurgeons or orthopedic spine surgeon to discuss!
Dr. Thomas Namey
Dr. Thomas Namey
Thank
Dr. Qamar Khan
Pain Management
2 doctors agree

In brief: Consider

Stem cell or platelet therapy options.
They may be able to help with the pars issues. Check out Regenexx.Com.

In brief: Consider

Stem cell or platelet therapy options.
They may be able to help with the pars issues. Check out Regenexx.Com.
Dr. Qamar Khan
Dr. Qamar Khan
Thank
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