Hello. Thank you for posting your query at DoctorSpring.com
I understand your concern.
Surgery will be offered to you only if it is indicated. If there is no significant compression of nerve roots and you undergo surgery then you might not get the expected results.
1. If surgery is indicated and performed appropriately then both your back pain and shooting pain should completely vanish in few weeks after the surgery
2. Extreme sports should be avoided for few months after surgery. I would recommend you to do regular exercises for rest of your life to prevent relapse if you are continuing extreme sports. a new disc prolapse may be seen in an adjacent level.
3. I always advise my patient to exercise after the surgery. If not, then change in lifestyle is required so that your back does not get stressed.
4. The degenerated disc will not change with surgery. Only the prolapse/ extruded fragment will be removed in surgery
5. I agree with them - if the MRI is suggestive of mild or no compression of nerve roots and there should not be any extruded fragments of the disc.
6. Please try epidural steroids or transforaminal injections.
7. You are right. Spine strengthening exercises are mandatory.
8. If surgery is not performed for a patient who has large disc then he may eventually have weakness of the foot(footdrop) and numbness which may at times become permanent.
9. Tight hamstrings have nothing to do with your degenerative disc prolapse. Your spine surgeon shall examine and let you know anything is required or not.
10. Coblation technology is one such breakthrough. But its indication is limited. Please consult your spine surgon who will let you know whether you will benefit with Coblation or not.
Feel free to discuss further,
With regards,
Dr Goutham Cugati
Patient replied :
So after looking at my MRI and my symptoms, would you recommend I am a candidate for surgery or I try non-invasive methods such as chiro/back strengthning first and then surgery?
Hello.
Kindly attach your MRI scan report or films so that I can reply / advise you suitably.
Regards
Dr Goutham Cugati
Consultant Neurosurgeon
Hello. Thank you for posting the follow up.
The MRI images which you have sent are very limited.
I would specifically require L4-5 level T2 axial images, to comment.
Or you can send the complete radiological report
Regards,
Dr Goutham Cugati
Consultant Neurosurgeon
Patient replied :
you can download it from here - https://www.sendspace.com/file/potdps
I tried viewing it myself first and it works - it includes all the files that can be viewed with any DICOM viewer - a free viewer is available at http://www.radiantviewer.com/ and takes less than 30 seconds to install. Please do let me know if this works or if you are still having any issues with this.
Please scroll down for the answer to your last query that was mailed to [email protected]
Hello. Thank you for the follow up.
I have gone through the MRI images.
If you have neurological deficits or if your neurosurgeon has told you that there is any motor or sensory deficits then you are a candidate for surgery. Or If you have intolerable pain despite all measures like physical therapy, exercises and Spinal epidural then you may be benefited by surgery.
The answer for your last query :
If you are not having neurological deficits, and your symptoms are tolerable then I dont advice surgery. You can try epidural steroids.
If you still dont see results then go for surgery.
Regards
Dr Goutham Cugati
Consultant Neurosurgeon