Severe Degenerative Disc Disease L4-L5 producing excruciating pain radiated to leg.
Patient : I have Degenerative Disc Disease and have had to go to my doctor on many occasions to get the pain under control. Now for Five week, my back pain(lower right side L4 and L5 discs. Pain radiating down my right leg, newly effecting my foot and toes. Now the pain is none stop and has grown to unbearable. Should I go to the ER for this Chronic situation that the docss their are well aware of and have turned me away numerous times, though this time the pain has lasted several week?
Degenerative disc disease produces changes in the vertebrae and the other spine elements as the discs producing nerve compression which is the cause of the pain. The treatment options depend on the age, severity of the pain, neurologic symptoms present and if you have some other associated health issue. The first approach is always conservative as a Physical Therapy program aimed to control pain and inflammation along with anti inflammatory medication, if there is no improvement and with time the pain is worse and intractable you should have a reevaluation by an orthopedic surgeon or spine specialist to decide if Surgery might be consider as a definitive treatment option for you.
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