I have a disc extrusion between  the L4 L5 region and is giving me pain in my right leg. It is a nagging pain and I am able to attend to my routine office work. I am active and  also drive a car. The orthopedician and the neuro surgeon says that there is a slight weakness in my right toe.  The orthopaedician says that I can go for a nerve block for eliminating the pain. He also feels that since I am active surgery is now not indicated. The neurosurgeon on the contrary says that I must go for  micro discectomy.. I need an opinion.
Hi, Thank you for posting your query. It is clear that your symptoms (pain and toe weakness) are due to disc prolapse at L4-5 level. Both epidural injections and surgery are good options. However, the decision depends on the degree of disc prolapse and patients symptoms. I know your doctor is the best judge, as they have examined you, but I would feel that surgery may be delayed by a few weeks, and injection given a chance first, as it is simpler and less invasive. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/