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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Pain In The Iliac Crest Be Due To Bulging Of L4?

I am undergoing cortisone injections for bulging l4 after l5 fusion last year.I have noticed that what I think is iliac crest is able to feel and that is where it hurts so badly.is l4 bulging pushing this out? What can I do for pain? I am considering si belt as a girdle helps with pain.
Tue, 23 Sep 2014
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Orthopaedic Surgeon 's  Response
After going through your query I think your You are suffering from lumbar disc prolapse(L4).There are two treatment options.First option is Rest in position of relief(generally lateral position with both knee bend),NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics .You can use lumbosacral belt to support back. This method needs patience as it take longer treatment times sometimes up to 6 months.Second option is go for surgical operation(Discectomy). You can discuss with your treating surgeon.I think your query answered.Welcome to any follow up query
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Could The Pain In The Iliac Crest Be Due To Bulging Of L4?

After going through your query I think your You are suffering from lumbar disc prolapse(L4).There are two treatment options.First option is Rest in position of relief(generally lateral position with both knee bend),NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics .You can use lumbosacral belt to support back. This method needs patience as it take longer treatment times sometimes up to 6 months.Second option is go for surgical operation(Discectomy). You can discuss with your treating surgeon.I think your query answered.Welcome to any follow up query