Conversation: The conversation between human and AI assistant.
[|Human|] What are my options for nerve pain in both feet, siatica in left leg hip and buttocks and herniated discs L4,L5, and L5, S1. I have had 2 rounds of physical therapy and 2 rounds of epidurals. Nothing works very well or for very long. My neurosergeon says my herniation is small and chronic. Microdisectomy only has a 60% chance to help the siatica only.On Tramadol. There has to be something out there that I am not aware
[|AI|]  Hi, For my patients I suggest surgery after 4 months of epidural shots' failure after that decreasing weight and spinal straightening practices followed by surgery for unilateral sciatica involves the removal of part of the disc, which is known as a discectomy. While it results in short-term benefits, the long-term benefits appear to be equivalent to conservative care like NSAIDs, steroids, muscle relaxants, physiotherapy and massages with topical gels and even Yoga is helpful. Treatment of the underlying cause of the compression is needed in cases of epidural abscess, epidural tumors, and caudal equine syn Chat Doctor.  Nowadays stem cell implantation and other minor endoscopic interventions are made Hope the above information helps you. Any further clarifications feel free to ask. Hope I have answered your query. Let me know if I can assist you further.