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L3-4 disk herniations typically don't radiate past the inside of the knee, which is where the nerve path ends. If you're feeling it in your feet, the problem is probably also either affecting the L4-5 or L5-S1 disks, or you've got multiple herniations, which isn't that uncommon for the lower lumbar area.

The L3-4 nerve path goes down the spine, across the waist and outer thigh, then across the thigh and stops at the inside of the knee. Pain radiating to the feet indicates problems lower down the spine, as I indicated typically in the L4-5 or L5-S1 area. In any case, the treatment is usually the same - stay off your feet, get an epidural or facet injection, NSAID's to reduce swelling, Flexeril or other muscle relaxer to help muscle spasms. Note that Flexeril takes a couple of days to really work - you'll know how much when you stop taking it.

Epidurals are done on a 3 week period - the first usually hurts worse than the disk pain, and takes a couple of days to subside. Never ask to see the needle they use either as it only makes it worse.

After a week they'll assess the results, and if it isn't better they'll do another. If the second one doesn't help, they usually don't go for a third one - they'll start discussing surgical options at that point.

While many people think surgery will help, as one who has had multiple disk herniations in the cervical and lumbar area, and who's looking at his fourth spinal operation, I can tell you that surgery should only be considered as an absolute last resort when nothing else can be done. You may eventually reach that point, but avoid it if possible. See my bio toward the bottom if you want to find out why.

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