Past medical history: Ulcerative colitis and gout. Past surgical history: Chemonucleolysis L4-L5 and right knee surgery, remote. Medications: Rofecoxib, mesalamine, enteric coated aspirin ...

Contraindications. Contraindications to lumbar chymopapain chemonucleolysis include allergy to papain or papaya, cauda equina syndrome, disc migration, central or lateral recess stenosis ...