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Central disc protrusion l5 S1



  • No surgery the surgeons say. 

    Really bad radiculopathy (burning pain) in low back, right side, groin, testicle 24/7.

  • @ L4: Sorry to hear that.I hope that herniation regresses back into place.

    Any reason why surgeons don’t want to operate it?

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  • Your situation sounds shockingly similar to my own. I have a bulging disc at the L4-L5 and a paracentral disc herniation at the L5-S1 level.  Of course you should get an opinion from a spine doctor as they can decide the best treatment for you. Don't worry about cauda equina because you'll know when you have it. There's no point in worrying now. Just make sure to explain you have sciatica to the spine doctor

  • @ ryanneedshelp: Sorry to hear.It sucks having this type of injury,it gets in the way of daily activities.I will get a second opinion soon,I already set up an appointment with my MD to refer me to a specialist.

    What kind of treatment are you getting for your issue ryan?

  • dilaurodilauro ConnecticutPosts: 13,584

    Any time there is a disc that is impinging a nerve root, most doctors will opt for surgery sooner than later.  Once a nerve is compromised, the longer it continues to be damage, the longer the potential recovery could be and could also result in some potential permanent nerve damage. 

    I have, along with a partial drop foot because I waited too longer to have one of my lumbar surgeries once I knew that a nerve was compromised.

    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
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  • Dave, I'm not sure if it is the same with every insurance but MOST will make you go though the conservative treatments before they will ok surgery and it's worth giving them a try. I had the same issue and the conservative methods worked for awhile but eventually, surgery was the only option left on the table. 

    PT is good but generally works better after surgery to get those muscles that get out of commission from pain and disuse back to doing their job again. And I've found, you have  to be out of pain to do that. I'd start with a neurosurgeon and go from there but that's my own experience. And if you have epidural injection injections, they are done under live X-Ray so they can see the nerves, you can watch a video on this website. Just take the step ahead of you and I pray it leads to back to a pain free life! Just don't wait too long. 

  • I could barely walk for 10 minutes at my worst and was almost begging for surgery but my pain management dr said no. Pt didn't help and finally I tried pilates it's been amazing... the studio instructors rave about how well I'm doing even when I'm having a bad week. I'm able to get 6-8 hours in bed a night now too. I know there are times when it feels hopeless but hopefully you have a good support system... my husband and friends have been there with me through everything and even put up with the slow pace when we go places like theme parks. Eventually you'll find what helps you!

  • lowbackllowback Posts: 2
    edited 01/05/2019 - 3:08 PM


  • @Clrystalclarinet: I’m glad it worked out for you.I saw my GP last week and she told me she doesn’t recommend I see a surgeon. She thinks it’s very risky and would only recommend it if her patient can’t walk anymore or other neurological problems.She also told me there was really no point in refering me to a surgeon,because here in Canada it can take a year or more to see one for your case( very long waiting list for universal healthcare),so she just prescribed me Lyrica pills and sent me home.I really wanted to see a specialist but it was offsetiing when she told me they take forever to respond to a referal.This is worrisome,since members on this site are telling me to see a specialist sooner than later due to my disc protrusion touching my nerves, yet when I want a referal I can’t get it because my doc says it takes forever to get one.I feel like I’m stuck right now and don’t know what to do.

  • @ dilaro: I wish I can see a back specialist here in Canada asap,but apparently it can take up to a year to see one.My GP refused to give me a referal to one because ahe think my protrusion is minor and that the MRI report says that its stable,but i told her I have sciatica, and she says it will go away with time.I really don’t know if shes under estimating all this, which worries me.

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