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DieSmilen
Southeastern LA Fan
My Rubbermaid Desk
Member since Dec 2007
1525 posts
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Herniated disc L5: Orthopedist or neurologist help
Two weeks ago I hurt my back and ended up getting a spinal steroid epidural but I am still in massive pain. I was told by the ortho that my options are rest, another spinal epidural, or surgery. I have a lot of sciatic pain, especially when I first wake up. I assume he is going to refer me to a neurologist, does anyone have a recommendation of one in Baton Rouge.


CT
LSU Fan
Kate Upton's back
Member since Sep 2004
21054 posts

re: Herniated disc L5: Orthopedist or neurologist help
Scrantz or Soleau at Neurmedical Center.


lsufan1971
LSU Fan
Zachary
Member since Nov 2003
5841 posts

re: Herniated disc L5: Orthopedist or neurologist help
Usually if the first ESI doesn't work it's a waste to do it again. I would go see Dr. Scrantz.


Odinson
LSU Fan
Asgard
Member since Apr 2014
1935 posts

re: Herniated disc L5: Orthopedist or neurologist help
Welcome to chronic back pain. Don't become a pill head!

Discuss if you are a candidate for endoscopic microdiscectomy v/s spinal fusion.


-
quote:

neurologist


Neurosurgeon
This post was edited on 10/7 at 6:01 pm


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Tigermite
LSU Fan
Member since Nov 2004
628 posts

re: Herniated disc L5: Orthopedist or neurologist help
Microdiscectomy brah. Takes about 2 hrs. And you'll wake up pain free


ElderTiger
LSU Fan
Planet Earth
Member since Dec 2010
3311 posts

re: Herniated disc L5: Orthopedist or neurologist help
quote:

Usually if the first ESI doesn't work it's a waste to do it again. I would go see Dr. Scrantz.


This...
I have suffered with L4 & L5 herniation for over 30 years. I finally said enough about 6 years ago and was able to get a referral to Dr. Scrantz. He acknowledged the problem but recommended physical therapy first. After 15 sessions, my pain was reduced by over 90% and have not had any real problems since. I was a total non-believer that therapy would do any real good but I was wrong.
The only problem is getting in to see him. W/O a referral from your regular doctor, you may have to wait 4-6 months.
Good luck...


Tigerpaw123
USA Fan
Louisiana
Member since Mar 2007
12488 posts

re: Herniated disc L5: Orthopedist or neurologist help
Live with it for a year doing physical therapy and NSAIDS and muscle relaxers ( stay away from narcotics) if after a year it is still that bad then look into surgery


CorkSoaker
LSU Fan
Member since Oct 2008
7998 posts

re: Herniated disc L5: Orthopedist or neurologist help
Medtronic spinal cord stimulator


Roscoe
Member since Sep 2007
2246 posts

re: Herniated disc L5: Orthopedist or neurologist help
You should always try physical therapy first.


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gaetti15
Navy Fan
AK
Member since Apr 2013
9774 posts

re: Herniated disc L5: Orthopedist or neurologist help
Have L4 and L5 herniated (also S1 nerve impingement)...went to therapy...didn't help...took muscle relaxers...didn't help...but I do get regular Toradol injections.

I feel like it helps out a bunch.

And I am relatively young...

I'm going to need some type of surgery by the time I am 50
This post was edited on 10/7 at 6:25 pm


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Tigerpaw123
USA Fan
Louisiana
Member since Mar 2007
12488 posts

re: Herniated disc L5: Orthopedist or neurologist help
quote:


Medtronic spinal cord stimulator



That is jumping the gun a little? Why not St Jude?


GolfingTiger
LSU Fan
Gonzales
Member since Oct 2004
208 posts

re: Herniated disc L5: Orthopedist or neurologist help
Oberlander at Neuromedical center performed a 3-level fusion(l4-s1)on me a year and a half ago for more problems than I have room to list here. I am 100% better. Check him out.


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Rekrul
LSU Fan
Baton Rouge
Member since Feb 2007
4365 posts

re: Herniated disc L5: Orthopedist or neurologist help
quote:

Microdiscectomy brah. Takes about 2 hrs. And you'll wake up pain free


This worked for me, but:

Since it was just 2 weeks ago you should try rest and the different therapies, maybe it'll work. I went through all that for a year and it did not work for me so I opted for surgery. Best decision of my life, Dr. Paul Waguespack at Neuromedical Center did mine but I've never heard a bad thing about any of the surgeons there. That is miserable pain, best of luck


hugo
LSU Fan
CenLa
Member since Sep 2007
856 posts

re: Herniated disc L5: Orthopedist or neurologist help
To those that have had the microdisectomy, what was the recovery like. How much time did you have to take off from work. I'm seeing neurosurgeon next week for mine.


Tigermite
LSU Fan
Member since Nov 2004
628 posts

re: Herniated disc L5: Orthopedist or neurologist help
If you got a desk job you should be able to go back to work in a few days. Any kind of lifting and it'll prolly be closer to a 4-6 weeks. I had mine done in 2009. So it may be a little different


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mikelbr
LSU Fan
Baton Rouge
Member since Apr 2008
27717 posts

re: Herniated disc L5: Orthopedist or neurologist help
quote:

neurologist, does anyone have a recommendation of one in Baton Rouge.


If it's not ruptured, stick to epidural and nsaids and patience. Very very painful. Been there. Ruptured that one. Couldn't drive sleep sit nothing. I could make a pain shoot down my leg by looking down while sitting at desk. Good luck bud. It finally got better and all good now.


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DVtiger
LSU Fan
Alsatian Valley
Member since Aug 2007
663 posts

re: Herniated disc L5: Orthopedist or neurologist help
quote:

To those that have had the microdisectomy, what was the recovery like. How much time did you have to take off from work. I'm seeing neurosurgeon next week for mine.
My son (college FB player) had this done in Sept. of his soph. year - Surgery @ 8am & walked out of hospital @ noon. Took about 8 weeks to return to full activity (no problems-just precautionary/fully healed. No full-contact in spring FB then back to starter his JR & SR year. You definitely want a Neurosurgeon to do this.


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CorkSoaker
LSU Fan
Member since Oct 2008
7998 posts

re: Herniated disc L5: Orthopedist or neurologist help
quote:

That is jumping the gun a little? Why not St Jude?


Because medtronic offers the only MRI capable spinal cord stimulator.


Tigerpaw123
USA Fan
Louisiana
Member since Mar 2007
12488 posts

re: Herniated disc L5: Orthopedist or neurologist help
quote:

quote:
That is jumping the gun a little? Why not St Jude?


Because medtronic offers the only MRI capable spinal cord stimulator.


Sounds like someone is partial to medtronics, employee??

Anyway, he is only 2 weeks from intial symptoms, can everybody step away from the operating table?


saderade
New Orleans Saints Fan
America's City
Member since Jul 2005
22590 posts

re: Herniated disc L5: Orthopedist or neurologist help
quote:

Because medtronic offers the only MRI capable spinal cord stimulator.

Spinal cord stimulators are a last ditch effort on a very specific population of people that have failed surgery (and a very other rare conditions).
To the OP; I would see one of the recommended guys at Neuromedical in Baton Rouge. When surgery is indicated depends on how conservative treatment works, if you have weakness, and how bad the pain becomes.


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