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The report says "At the L4-L5 there is a large large disc extrusion, this extends 1.2 cm to lie posterior of the superior part of L5 and 7mm from the posterior margin of the vertebral
body and is compressing on the thecal sac
This condition may be treated with rest, physiotherapy
and exercises for some time, but eventually, he will require surgery.
Disc Bulge where Annulus is not torn can be managed by conservative treatment
Disc Extrusion, where Nucleus Pulposus
is extruded and is pressing on the neural components require surgery sooner or later
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