TFESI for huge disc extrusions vs surg ref

Greetings all, I had an experience last week with a surgical referral I placed and would love any input in the group. Long story short young healthy guy with a huge disc exrtrusion l4-5 with severe stenosis NF narrowing severe pain X6 months with all the classic radic symptoms and severe pain. Failed PT, NSAIDS, gabapentin. Neuro exam in tact other then some reduced sensation to LT but no weakness and sym reflexes... just severe pain. Talked to patient about options for tx including... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums