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Scientists Reveal Olive Oil Stops Inflammation
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If the patient begins to have a neurologic deficit from the ''slipped disc'' then the situation changes. This may include a foot drop if the patient has an L4-L5 herniated disc impinging on the L5 nerve root, or possible quadriceps weakness if the patient has an L3-L4 herniation. A neurologic deficit that is increasing and causing more weakness is a clear indication for lumbar discectomy surgery. If the neurologic deficit is stagnant, the situation can be monitored for a few months. However, it is unclear whether or not if decompression surgery is performed the neurologic deficit will reverse the longer one waits. Patients need to be informed of this.
If a patient with a lumbar herniated disk experiences bowel or bladder problems he or she should be instructed that it is a surgical emergency. That could be a condition called cauda equina syndrome and needs to be addressed immediately.To summarize, most lumbar herniated disc conditions are best treated non-operatively with conservative pain management treatment including physical therapy, chiropractic treatment, spinal decompression, spinal epidural injections, and pain medications. If 6 weeks or more goes by and the sciatica pain from the pinched nerve is unbearable, spinal laminectomy and discectomy surgery is indicated. Increasing neurologic deficit is a clear indication for discectomy surgery and bowel or bladder insufficiency is a surgical emergency.
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