Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home


Resolved Question:

Hi doc, I have upload mri lumbosacral spine screening report. Can you please recommended what should be done in the case ?

Category: Neurosurgeon

Ask Your Own Question

Category: Spine Surgeon
 32 Doctors Online

Thank you for your query at

After seeing the report I definitely feel that you need to undergo surgery in your spine - lumbar discectomy at L4-5 level.
In this surgery, the herniated disc material at the lumbar level is removed so as to produce relief from the symptoms which arise when the protruding disc material impinges on the nerve roots.
Hope this helps,

Patient replied :

Apart from surgery, do you think there is any other option ? Is surgery safe in this case ?

The extruded disc cannot be handled by any other means. Surgery is a must. If it is performed by a neurosurgeon with an operating microscope, it is absolutely safe.
Feel free to discuss further,

Patient replied :

What about therapy session such as traction therapy ? The patient does not have pain while in lying posture. While she walks, she feels pain and after stopping for few moments, the pain is relieved. I have consulted another neurosurgeon in my city. In the first instance, he also suggested for surgery but after seeing the patient, he said either the surgery or therapy sessions for long term.
I am not trying to avoid surgery but is the case too serious to have surgery in first instance ?

The extruded disc in no way be removed unless a surgery is done. The patient will definitely be having a problem.
The symptom what you explained is called claudication. If you want to get rid of it then surgery is the only option.

Dr. Goutham Cugati
Category: Spine Surgeon
Residency: Neurosurgery, the Post-Graduate Institute of Neurological Surgery, Dr. Achanta Lakshmipathi Neuro surgical Center, VHS Hospital, Chennai, 2011

Postgraduate in Neurosugery: DNB, National Board of Examinations,
Part 1 - 2008, Part 2 -  2010

Medical School: Bachelor of Medicine, Bachelor of Surgery, JSS Medical College, 2004
Dr. Goutham Cugati and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news