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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Re-lapse Of Slip Disc?

Hello doctor I am suffering from re-lapse of slip-disc pain from last 2 months, inspite of number of treatments I have not been able to control the pain this time. I am unable to walk or sit for more than 10 minutes. I have to lie down.

Double disc prolapse L4LL5, L5S1 Age:40 years, Weight:110Kgs, Height: 5'8".
Seeking you advice

Thanks and Regarsd
SKN
Mon, 7 Jul 2014
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Emergency Medicine Specialist,  's  Response
Hi..
2 level disc prolapse with radiating pain not relieved by medical management requires surgery.
considering your age and symptoms you should undergo surgery( discectomy +/- posterior stabilization).
The main surgery for the this problem is disc removal ( discectomy) which can done in many ways but when the disc is removed the chance of instability ( slipping of vertebra over another vertebra) and at this level is high hence stabilization of spine is done with rods and screws.
In mean time
take painkiller ( diclofenac 50mg ) twice a day.
Bed rest.
Take pregabalins at night .
Seek a spine orthopeadician/ neurosurgeon opnion.
Avoid lifting weights, squattng, bending.
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How To Treat Re-lapse Of Slip Disc?

Hi.. 2 level disc prolapse with radiating pain not relieved by medical management requires surgery. considering your age and symptoms you should undergo surgery( discectomy +/- posterior stabilization). The main surgery for the this problem is disc removal ( discectomy) which can done in many ways but when the disc is removed the chance of instability ( slipping of vertebra over another vertebra) and at this level is high hence stabilization of spine is done with rods and screws. In mean time take painkiller ( diclofenac 50mg ) twice a day. Bed rest. Take pregabalins at night . Seek a spine orthopeadician/ neurosurgeon opnion. Avoid lifting weights, squattng, bending.