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re: Herniated disc L5: Orthopedist or neurologist help

Posted on 10/7/14 at 7:58 pm to
Posted by Purple n GOLDUST
Member since Oct 2009
156 posts
Posted on 10/7/14 at 7:58 pm to
Try Physical Therapy first. A lot cheaper than surgery
Posted by CorkSoaker
Member since Oct 2008
9784 posts
Posted on 10/7/14 at 7:59 pm to
You asked why not st Jude and I answered.

st Jude's leads are not MRI capable and medtronics are. That's a fact.
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4231 posts
Posted on 10/7/14 at 7:59 pm to
You really need to consult your Optometrist before you do anything.
Posted by gaetti15
AK
Member since Apr 2013
13354 posts
Posted on 10/7/14 at 8:01 pm to
quote:

Try Physical Therapy first. A lot cheaper than surgery



I wish this would have worked for me
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17251 posts
Posted on 10/7/14 at 8:04 pm to
Actually I said jumping the gun early?, then was wanting to know why you were so partial to medtronics
What about BS?

What is max voltage with medtronics?
This post was edited on 10/7/14 at 8:06 pm
Posted by Topisawtiger
Mississippi
Member since Oct 2012
3487 posts
Posted on 10/7/14 at 8:11 pm to
I am an RN and herniated L4 and L5 at age 49. MD's gave me pills, wanted to operate, etc. I said screw that. Went to chiro and was so bad he couldn't even adjust it. After light stretching and lying on the roller machine he was able to adjust me the second visit. I started doing yoga and core strengthening exercises. After six weeks all pain was gone and I could touch my toes again. Chiro told me that if everyone did yoga he would be out of a profession. That was six years ago and it is doing well. Even went through P90x several times without issues.

I guess what I am trying to say is go see an MD, surgery, pills, etc. if you want but the percentages aren't in your favor. I would try other avenues first. In any case good luck and I hope you get better.
Posted by CorkSoaker
Member since Oct 2008
9784 posts
Posted on 10/7/14 at 8:31 pm to
Boston's leads are not mri capable either. Only medtronic.
Posted by DieSmilen
My Rubbermaid Desk
Member since Dec 2007
1726 posts
Posted on 10/7/14 at 8:34 pm to
I went to Dr. Girod at Baton Rouge ortho. I went to lake after hours first they have me muscle relaxer, pain reliever, and anti inflam . A day later I couldn't feel my right leg and I went to the er. I was in hospital for three days and got the spinal epidural. I had my follow up last week and they want me
to give injection more time. I asked if I should go to chiro and they said stay away the could do more damage. I go back on the 30th
but I am in so much pain. I do some Mckenzie stretching which helps.
Posted by mtcheral
BR
Member since Oct 2008
1935 posts
Posted on 10/7/14 at 9:03 pm to
Bs about the first epidural not working. Often the first doesn't do much. If the second does nothing then don't bother with third. You need to give this more time despite how miserable.
Posted by Ric Flair
Charlotte
Member since Oct 2005
13649 posts
Posted on 10/7/14 at 9:04 pm to
Just pain, I would try the PT, pain Meds, muscle relaxer route. Weakness, significant numbness, or bowel/bladder dysfunction, do surgery.

The majority will get better on their own.
Posted by TigerWave22
Prairieville
Member since May 2012
180 posts
Posted on 10/7/14 at 9:26 pm to
I'm 24 and have a herniated L4 & L5. It was pretty debilitating at first, especially in the morning. By mid afternoon, my left leg would start tingling and it lasted all night. As others have said, try PT. I did 8 weeks, 2 x / week and it helped a ton. That was a year ago. Now, I know what will trigger the pain. If I drive for a long distance, I wear a Velcro back brace or put a towel at the small of my back to keep my back pretty straight. If I run a few days in a row, it'll also start bothering me again but never as bad as it was. Ibuprofen and ice packs will knock out any discomfort I have from time to time. Good luck!!!
Posted by Cosmo
glassman's guest house
Member since Oct 2003
120150 posts
Posted on 10/7/14 at 9:30 pm to
A "herniated disk" is a broad, medicolegally charged term. If you MRI 100 assymptomatic people over the age of 50, half of them will have some sort of "disk herniation."

My advice will always be to avoid surgery unless you cannot function. Once you have surgery, there is no going back.
Posted by sec13rowBBseat28
St George, LA
Member since Aug 2006
15350 posts
Posted on 10/7/14 at 9:30 pm to
SCRANTZ. This guy completely fixed my herniated disc when others told me there was nothing they could do. I'm back to working out, exercising, and running. At the very least, get this guys opinion.

Edit: I tried everything and nothing worked, surgery was the last resort. I was willing to try anything with the pain I was in.
This post was edited on 10/7/14 at 9:34 pm
Posted by G Vice
Lafayette, LA
Member since Dec 2006
12911 posts
Posted on 10/7/14 at 11:15 pm to
quote:

A "herniated disk" is a broad, medicolegally charged term. If you MRI 100 assymptomatic people over the age of 50, half of them will have some sort of "disk herniation."

The initial study found 39 out of 100 asymptomatic spines had MRI diagnostic criteria of disc pathology. I forget all of the specifics now, but still 39 out of 100 is alot, as is 50 of 100. Splitting hairs with you, of course.

Good recs in here about going to the Neuromedical Center and trying PT first. If it doesn't help, and it does help alot of people, you will know, and need to move on to the next step: injections and/or surgery.

Corksoaker, you are very well-informed. That doesn't happen by accident
Posted by CT
Kate Upton's back
Member since Sep 2004
21054 posts
Posted on 10/7/14 at 11:17 pm to
quote:

Corksoaker, you are very well-informed.


Yet she consistently gives terrible advice. A spinal cord stimulator is a LAST resort.
Posted by Odinson
Asgard
Member since Apr 2014
2749 posts
Posted on 10/7/14 at 11:27 pm to
quote:

Yet she consistently gives terrible advice. A spinal cord stimulator is a LAST resort.


Pain pump would be the very last after failed back surgery & SCS.
Posted by G Vice
Lafayette, LA
Member since Dec 2006
12911 posts
Posted on 10/7/14 at 11:29 pm to
True. I've seen some very successful outcomes in the recent 2-3 yrs that come to mind of people who got no relief from injections and did not want to undergo fusion surgery, or had RSD or some variant of that. Last resort for sure, and for a very select patient.
Posted by CT
Kate Upton's back
Member since Sep 2004
21054 posts
Posted on 10/7/14 at 11:34 pm to
OK. Second to last resort then. It's definitely not a discussion a single Neuro will have with you until after MANY things fail to work first.


Biloxi Vacation > Sedona Vacation is my favorite suggestion I've seen from her so far.
Posted by Hopeful Doc
Member since Sep 2010
14938 posts
Posted on 10/8/14 at 12:27 am to
I'll share this publication's most important two lines from its conclusion:

quote:

In general, there is evidence that early surgery in patients with sciatica provides for a better short-term relief of leg pain as compared to prolonged conservative care, but the evidence is low quality because of the fact that only one trial investigated this properly. No significant differences were found between surgery and usual conservative care in any of the clinical outcomes after 1 and 2 years, but the evidence is of very low quality
Posted by Hopeful Doc
Member since Sep 2010
14938 posts
Posted on 10/8/14 at 12:28 am to
quote:

Once you have surgery, there is no going back.



And it's likely that you'll feel no better than had you not had surgery.
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