I have herniated disk, either I have surgical operation or physiotherapy, which is best?
My name is (…)and my problem is that I cannot walk more than 5 minutes. After 5 I feel difficult in walking and feel pain in my leg.I went to the doctor he said that you have herniated disk lwk4/5 problem.this is the doctor reports.
(The presentation took place with the detection of high-grade spinal canal stenosis
LWK 4/5 intervertebral disc disease.
Anamnestically, the patient states, for several months under a pronounced
Claudicatio spinalis – Symptomatik to suffer. He could not walk more than 4-5 minutes
And then had to stop, because the pain lumbar with radiance in the
Dermatom L 5 left almost unbearable.
In this MRT of the LWS of 28.06.2016 is a large intervertebral disk incident LWK
4/5 with narrowing of the spinal canal, as well as an additional spinal canal stenosis
In this area, which lead to a massive compression of the nerve fibers.
With the patient was detailed about the possible conservative and operational
Therapy possibilities. We recommend a sequestrectomy, as well as a lumbar
Decompression in this area.)
The doctor said that you have two option one is surgical operation and the second is physiotherapy. But the surgical operation is risky. Now I don’t know what I do.and what is better for me.please give me usefull advise.
of course,surgery is risky and has adverse effects and long term complications of its own.so, you should avoid it as far as possible. physiotherapy should be taken atleast for 21 days. only if you see no improvement after 21 days.,then you can think of surgery
THIS DEPENDS ON THE SEVERITY OF SYMPTOMS AND YOUR PAIN TOLERANCE. YOU WILL GET IMMEDIATE RELIEF FROM PAIN WITH SURGICAL DECOMPRESSION,BUT WILL AFFECT YOUR SPINE STABILITY IN LONG TERM.
PHYSIOTHERAPY WILL TAKE MORE TIME TO GIVE YOU RELIEF, BUT WONT AFFECT SPINE STABILITY
physiotherapy with back muscle strengthening exercises should be the best option. use a lumbosacral corset during day time for support to the affected spine. local oils/gels combined with hot fomentation will add relief. surgical treatment should be the last option
Physiotherapy of course not less than 12:sessions ..hot packs.ultra sound and intrrferential current..massage and exercises to strengthen your back gradually…
Rest and use a bit hard mattress..take medications..