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Suggest Treatment For Paracentral Disc Protrusion
Question: hi sir iam XXXX 29 in mri LS finds diffuse disc bulge of moderate degree with dessication changes,posterocentral and left paracentral disc protrusion at L4 L5 level causing ventral thecal sac,left traversing nerve root indentation,left neural forminal narrowing and relative spinal canal narrowing at this level, what kind of treatment for this ,is it life treatening ,is it 100%curable tellme sir please i got recently married
Brief Answer:
Disc prolapse-primary treatment rest and analgesic
Detailed Answer:
Hi
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern.
Primary treatment of it is rest and analgesic such as ibuprofen. Rest is advisable in lateral position with both hips and knees flexed. Treatment depends upon symptoms, it doesn't not depend upon MRI report. It will be better to know about your symptoms. It is not life threatening. It can be treated well. It can be nearly 100 percent treated. You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Disc prolapse-primary treatment rest and analgesic
Detailed Answer:
Hi
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern.
Primary treatment of it is rest and analgesic such as ibuprofen. Rest is advisable in lateral position with both hips and knees flexed. Treatment depends upon symptoms, it doesn't not depend upon MRI report. It will be better to know about your symptoms. It is not life threatening. It can be treated well. It can be nearly 100 percent treated. You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
thank Q for giving use releaf to me sir is it related to any brain issue,iam having pain in back leg below knee when iam bending in early stage now pain in my tigh also these symptons started from last 3 weeks so ,what kind of treatement in this time i need,like medication,psyho.can go for another mri for exact confirm or second openoin who is the better at this time neuro physian,neuro surgun,orthopedic surgon what kind of precautions i need to fallow.
Brief Answer:
Rest and analgesic is treatment
Detailed Answer:
Hi
Welcome back
It is not related to brain. It is related to lumbar spine . In the spine there are vertebrae (bones) and between them there are intervertebral disc. In your case disc between fourth and fifth lumbar vertebrae is protruding out. This leads to pressure over spine cord and nerves. After few weeks of rest pressure by disc will decrease and your pain is likely to relieve. Your symptoms are mild. You need analgesic(you are taking lupirtin) and bed rest. Your treatment is ok but rest is very important . You are advised rest in already described position. At present nothing more is needed. No second MRI is needed. You will be better in the care of a orthopedician. You are advised to avoid bending and weight lifting etc.
Rest already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you good health
Take care
Rest and analgesic is treatment
Detailed Answer:
Hi
Welcome back
It is not related to brain. It is related to lumbar spine . In the spine there are vertebrae (bones) and between them there are intervertebral disc. In your case disc between fourth and fifth lumbar vertebrae is protruding out. This leads to pressure over spine cord and nerves. After few weeks of rest pressure by disc will decrease and your pain is likely to relieve. Your symptoms are mild. You need analgesic(you are taking lupirtin) and bed rest. Your treatment is ok but rest is very important . You are advised rest in already described position. At present nothing more is needed. No second MRI is needed. You will be better in the care of a orthopedician. You are advised to avoid bending and weight lifting etc.
Rest already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you good health
Take care
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
thank Q sir doctor has priscribed these medisions for 3 weeks after that what kind of medication required apart from rest.in my case is it curable completely with medication or required any surgery.is this leads to peralasis.my left hand is also sometime have pain,is it related this one or any other.am i get well like normal person.please tellme sir.
Brief Answer:
Same drugs and rest may be required.
Detailed Answer:
Hi
Welcome back
After three months same drugs as you are taking may be needed if you have symptoms and pain. It can be treated by rest and analgesic and does not require operation at present condition. It generally doesn't cause paralysis. Your left hand pain is not related to it. You will get well like normal person but you need to be careful not to lift weight and stress your back more for nearly a year.
Hope your query get answered. if you have any clarification then I am happy to help you. If not, then you can close the query and rate the answer.
Wishing you a good health. Take care.
Same drugs and rest may be required.
Detailed Answer:
Hi
Welcome back
After three months same drugs as you are taking may be needed if you have symptoms and pain. It can be treated by rest and analgesic and does not require operation at present condition. It generally doesn't cause paralysis. Your left hand pain is not related to it. You will get well like normal person but you need to be careful not to lift weight and stress your back more for nearly a year.
Hope your query get answered. if you have any clarification then I am happy to help you. If not, then you can close the query and rate the answer.
Wishing you a good health. Take care.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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