apollo
  • male
  • 59 Years
  • 14/08/2025

My dad is 59 and has had sciatica pain from a slipped disc between L4-L5 for 10 years. Doctors recommended surgery but said it might not last and could have lifelong risks, so we stuck with physio and meds. Now he's getting numbness and pain in his leg and fingers. Should we consider surgery now or keep trying physio and meds?

Doctor 1

Answered by 1 Apollo Doctors

New numbness and worsening sciatica after long-term conservative care may indicate nerve compression—surgical decompression may now offer better relief and prevent damage.

Dr. Dhankecha Suggests...

Consult a Neurosurgeon

Answered 14/08/2025

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I'm looking at my MRI report, and it's saying there's disc desiccation with a mild diffuse disc bulge and posterocentral disc herniation at the l5S1 level, which is causing some indentation on the thecal sac. I'm a bit concerned because I had surgery back in April 2017 for a tumor in my spinal cord. What does all of this mean? Should I be worried about this report in relation to my past surgery?

The MRI report indicates disc desiccation, mild diffuse disc bulge, and posterocentral disc herniation at the l5-S1 level, causing indentation on the thecal sac. The previous surgery in April 2017 was for a tumor in the spinal cord. For the disc issues mentioned in the MRI report, you can take pain relief medications like ibuprofen 400mg three times a day after meals. Additionally, you can use muscle relaxants like tizanidine 2mg at bedtime to help with muscle spasms. Physical therapy and gentle exercises can also be beneficial. If the pain persists, you may need to consult a spine specialist for further evaluation and management.

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