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Treatment for Disc rupture - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   hi Doc, i am suffering from Disc rutpure/tear --- L3 L4,L5 S1,L4-5, PLEASE Aadvice
Doctor :   Ok
Doctor :   How long this happened?
Doctor :   What are you symptoms now?
User :   i get acute pain in my back , unable to bend etc
Doctor :   Ok are you able to move?
Doctor :   are you able to walk, urinate and move your bowels?
User :   yes
Doctor :   Ok
Doctor :   IS the MRI done and do you have the report?
User :   yes
Doctor :   Can you type the report so that I have a brief idea what is the grade of rupture
Doctor :   The treatment depends on the present condition of the person, the grade of rupture and if any complications set in
Doctor :   Usually a conservative management is approached with Rest, grading physiotherapy
Doctor :   and the symptomatic treatment is advised
Doctor :   Do you have back pain now?
User :   l5-s1 mild postero central disc bulge along with annual tear causing indentation on thecal sac. postero -central disc bulge at L4-5 level. loss of normal T2 weighted hyperintensity seen at L3-4, L4-5 & L5-S1 levels.
Doctor :   ok
Doctor :   What is the opinion of the doctor and what medicines are you on?
Doctor :   are you with me?
Doctor :   What is the age of the person?
User :   39years
Doctor :   Ok do you have the back pain now
User :   yes
Doctor :   Did you take medicines?
Doctor :   if so what is that?
User :   yes
Doctor :   What is that?
User :   orthocort, thio xl,vinzyl,vinflam,vinzol etcplus wearing corset 24x7
Doctor :   If you have back pain now, it is highly advised to take bed rest for 2 days along with pain relieving measures.
User :   i am on bed rest for 6 weeks
Doctor :   You can take the Vinflam tablet
Doctor :   which reduces the pain
Doctor :   are you on physiotherapy program
Doctor :   this is the most important part in the pain relieving
User :   no , please suggest and also tell me the reson of this ailment and how to protect this in future
Doctor :   The reasons are many
Doctor :   Sedantary life, poor posture
Doctor :   injury
Doctor :   to the region
Doctor :   etc
Doctor :   Most of the times the back pain is relieved by bed rest and some pain relieving exercises
Doctor :   which will be graded
Doctor :   initially for pain relief, later for strenghtening the back muscles
Doctor :   to protect further rupture of the disc
User :   give me useful tips
Doctor :   Did you have injury?
Doctor :   and was the doctor able to say the cause of it?
User :   no injury
Doctor :   The things one should keep in mind if one has disc rupture
Doctor :   are Bedrest for not more than 2 days when there is an acute pain
Doctor :   gradually going into activity mode
Doctor :   Keeping the spine straight
Doctor :   Not bending the back
Doctor :   and instead bending at the knees by keeping the back straight
Doctor :   and the necessary exercises prescribed by the Orthopedic Physiotherapist
Doctor :   These measures will keep the pain at bay
Doctor :   and reduce the recurrence of symptoms again
Doctor :   Did you follow?
User :   suggest me exercises, diet,lifestyle tips etc
Doctor :   That will be a bit lengthy so what I can do is if you can confirm your email ID
Doctor :   I can send you an educational brochure explaining the Exercises, Diet and Lifestyle tips
User :   YYYY@YYYY
Doctor :   for the conservatice mnagement of
Doctor :   Back pain due to ruptured disc
Doctor :   Thanks for confirmaing the email ID
Doctor :   I shall send out the document within 24 hours
Doctor :   Is there anything else that I can help you with?
User :   i look forward to the material urgently
Doctor :   Remember that the weight loss, posture during work and rest and the exercises are the most important and to go consistently for long time.
Doctor :   These should not be stopped after disappearance of the symptoms
Doctor :   Yes I shall send you the required document as soon as possible
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