Re: Lumbar Radiculopathy and Thanks!

From: Robert A. Fink, M. D. (lynxer_at_comcast.net)
Date: 08/06/04 

Date: Fri, 06 Aug 2004 22:59:00 GMT

On Thu, 5 Aug 2004 22:00:39 -0500, "Blah" <blah@blahblah.com> wrote:

>My reason for re-stating is this; there seems to be much controversy
>concerning the proper path to take care of this. Some say do the surg, most
>say no. Some say a selective block is ok, some say don't.
>
>Most articles I have read state 6 weeks and one should feel a little
>better..well; it has been 3+ months and I feel more restricted with a little
>more pain.
>Do I seek another opinion or take the wait and see posture? Wait til I can
>hardly walk? Hmm?
>Still frustrated. :)

My best guess (and it is a guess, since I have not examined you nor
have I seen the films) is that you have a significant left-sided disc
herniation. The "measurements" are much less important than the
neurological signs (gotten only by a hands-on examination).

Nonsurgical treatment involves strict bed rest for several days
followed by some sort of back bracing (there are special braces for
this) for 3+ months. If the symptoms resolve, you have dodged the
bullet (surgery) this time. If they do not improve with proper
treatment (and it sounds as if your treatment has not been optimal),
then surgery should be considered. If the neurological signs worsen
(weakness of the foot, severe sensory loss, or bladder difficulties),
surgery is indicated sooner rather than later.

You really need to see a specialist in this condition. A neurosurgeon
is best (I am prejudiced) but an orthopaedic surgeon with special
training in spine is also OK. Good luck.

Best,

Bob

Robert A. Fink, M. D.
Neurological Surgery
2500 Milvia Street Suite 222
Berkeley, CA 94704-2636 USA
510-849-2555

**********************************
NOTE: The material above is not "medical
advice". Medical advice can only be
given after an in-person contact between
doctor and patient.
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