5 doctors weighed in:

I have herniated disc and bulging disc L4 L5 L5 s1 i had a snrb done and nothing is working does this mean surgery ? I have trouble walking too

5 doctors weighed in
Dr. Sean Armin
Neurosurgery
2 doctors agree

In brief: Please see below

Herniated disc can be a generic term and not necessarily symptomatic unless it causes nerve root compression.
In this case its most important to be able to correlate your symptoms with the specific nerve root impingement. It may be that the symptomatic nerve root has not been injected yet. Even if you don't respond to an epidural, a discectomy that can be done minimally invasively can help you.

In brief: Please see below

Herniated disc can be a generic term and not necessarily symptomatic unless it causes nerve root compression.
In this case its most important to be able to correlate your symptoms with the specific nerve root impingement. It may be that the symptomatic nerve root has not been injected yet. Even if you don't respond to an epidural, a discectomy that can be done minimally invasively can help you.
Thank
Dr. David Lundin
Neurosurgery

In brief: Surgery

The best treatment for disk herniations that fail to respond to pt, nsaids, steroid injections (snrb) is surgery.
Fortunately, surgery is safe and effective for those patients.

In brief: Surgery

The best treatment for disk herniations that fail to respond to pt, nsaids, steroid injections (snrb) is surgery.
Fortunately, surgery is safe and effective for those patients.
Thank

In brief: Not necessarily

If you do not have progressive muscle weakness, and atrophy, and pain is manageable, you may actually be able to wait until disc dessicates and shrinks, but could take months.
Epidural steroid injection might work, and oral or IV steroids might be worth a try, but if your bladder is involved, surgery becomes mandatory.

In brief: Not necessarily

If you do not have progressive muscle weakness, and atrophy, and pain is manageable, you may actually be able to wait until disc dessicates and shrinks, but could take months.
Epidural steroid injection might work, and oral or IV steroids might be worth a try, but if your bladder is involved, surgery becomes mandatory.
Thank
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