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Disc herniation at L3-L4 level, lumbar spondylitic changes, disc bulging. Treatment?

2-3mm right disc herniation at L3-L4 level related to proximal desending right sided nerve root what is done for this. also multilevel lumbar spondylitic changes lateral disc herniation. Lateral herniation at L2 L3 YYYY@YYYY mullti level spondylitic changes an disc bulging at other levels Female 54 years old
Asked On : Mon, 3 Sep 2012
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Neurologist 's  Response
Nov 2013
Thank you for contacting Healthcare Magic.
The report describes multi-level disc prolapse with nerve root compression and spondylotic changes. Treatment depends on symptoms and examination findings.
In the initial phase, physiotherapy is very useful. This includes back extension exercises, traction and use of treatments like IFT, ultraound to relieve pain. You can get more details after contacting your physiotherapist.
If the patient has pain, neuropathic pain medications are useful. This includes pregabalin, gabapentin, amitryptiline, etc. These are prescription medications and your GP/neurologist can prescribe them.
In about 10% of cases, surgery may be required. Surgery is required in patients where medical treatment has failed or if there is severe leg pain, or as decided on the basis of clinical examination.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Health City, Hyderabad
Answered: Mon, 3 Sep 2012
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