Conversation: The conversation between human and AI assistant.
[|Human|] I   am in need of an orthopedic dr.  I have had back trouble for years but in 1998 I had a series of epidurals in my lower spine, (lumbar section) for herniated disc. after the 3rd injection over a year, it helped.  But now its back in full blown pain in lower back, have trouble standing,  sciatica nerve down left side.  In terrible pain but  dont know where to go for help which I need badly ASAP.Mrs. Emma Posey
[|AI|]  Hello, Thanks for writing to us. These symptoms are part of lumbar disc degeneration with PIED where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. As already 3 injections are given over a year, and you do not get better with this treatment, I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms Hope this helps you. You can consult me again directly through my profile http://www.ChatDoctor .com/doctors/ Chat Doctor.