A para central disk protrusion at L5-S1. Moderate to severe back pain &sciatica. Epidurals, facet blocks etc. Nothing helps. Surgeon says not surgical.

Spine Problems. Anti inflammatories (including oral steroids and injections), physical therapy and rest. Exercises to improve your strength around the injury. Seek the help of a pain management specialist.

Related Questions

23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. What is my next treatment option? More epidural? Fusion surgery?

Find out why. You shold go to see your doctor/spinal surgeon to find out why. Is there any new bulging, new tear, etc that requiring any surgical approach or is something that can be treated supportively. Something you will find from further testing. Definitely, you should have an MRI of ls done to evaluate this problem. You won;t know the treatment if you don't know the cause of the problem. Read more...
Second opinions. Are often required to provide clarity and support for, or reevaluations of, earlier recommendations. This is a complex question requiring a deeper conversation between patient and provider. Fusion may be indicated but not feasible for some, epidural may be untimely or even contraindicated for others. Face to face is best here. Read more...
Failed back. It appears that you have failed back syndrome. Please see a pain specialist for evaluation and treatment. You might benefit from additional therapy, medications, injections like epidural steroid injection or spinal cord stimulation. Read more...

I have severe back pain from last 2-3 years. Mri shows bulges at l4-l5 and l5-s1.Doctors recommend operation, but I want to avoid operation. Suggest.

Physical therapy. You can always try things like physical therapy, massage or chiropractics but sometimes depending on the severity of the disk herniation, surgery is the best option. Would also suggest a 2nd opinion from another surgeon to see if they agree. Read more...
Exercise. Options to surghery are exercise, rest, anti spasm medication. Surgery last resort especailly for "builging discs"! better get another opinion and make sure you had a "discogram" test. Read more...