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Can L4 L5 diffuse posterior bulge be treated without surgery? - Online Doctor Chats

Date : 09-Jan-2015
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
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User:Hi .. my query is related to Spine issue.. should i proceed?
Doctor:I am a General Physician
Doctor:I shall help you within my expertize
Doctor:Please proceed
User:thanks.. actually its a case of Disc Herniation..
Doctor:Can you give me a few moments to check the reports?
Doctor:thank you
Doctor:I see that there is a L4 L5 diffuse posterior bulge
Doctor:That means to say there is a problem at the lower lumbar region or the lower back level
Doctor:there is a mild pressure on the exiting nerve L5
Doctor:You seem to be very young at 28yrs
User:Now my question is can this be treated without surgery?
Doctor:yes, definitely
Doctor:You can go for back physiotherapy
Doctor:Back support belt
Doctor:and maintain correct back posture
Doctor:I do not think surgery is required at this stage
User:Symptoms: I can't walk more than 5 minutes continuously due to numbness in majorly right leg + lower back pain
User:do you think physiotherapy will push back to herniated disk?
Doctor:you must use a back support for this
Doctor:give complete bed rest for a week or so until the pain is gone completely
Doctor:You can then slowly start physiotherpapy
Doctor:Physiotherapy would help in getting the back muscles aligned straight
Doctor:It would reduce the symptoms
Doctor:Also, you must learn to maintain erect back posture
Doctor:do not sit for long time working on the computer
Doctor:that causes strain as well on the spine
Doctor:This is very delicate problem
Doctor:With proper care, it can be treated without surgery
User:yes, i am using back pillow while sitting in office + now my sitting posture is straight + i avoid forward bending
Doctor:But as of now, you need a lot of bed rest and rest to the back as you are unable to walk for more than 5 mins
Doctor:that is good but I would advise that you take a break from office for a week or so
Doctor:If your pain in unbearable, this would be better
Doctor:You can stay back at home and lie down on the cot
Doctor:Because, continued pressure and stress on the back can increase the disease
User:i have just consulted with a Spine specialist, as per him Right Postures, Exercises etc can give bit relief to pain (symptoms) but to get rid off from this completly we should go for minor sergery
User:i am perfectly fine while on sitting and sleeping positions
Doctor:I am sorry; I am a general Physician. If the spine specialist thinks that way and if you are convinced you can go for the surgery
User:yeah i understand
Doctor:in my view, adequate rest and correct posture would help you at this stage
User:i am just thinking to have second opinion as well
Doctor:If you follow this, in fact, the problem can be reversed
Doctor:I do not advice surgery at this surgery
User:so do think this is very common issue now days or it is very rare desease?
Doctor:it is very common these days
User:this disease comes under orthopedic or neuro?
Doctor:It comes under spine specialist
User:ok is this a separate category?
Doctor:Which are super specialty in broad subject orthopedics
User:got it
User:Thanks a lot doctor :-)
Doctor:I hope I have answered most of your queries
User:Great help thanks a lot
Doctor:I wish you quick recovery and a healthy long life
User:yes for all queries
Doctor:My pleasure
User:thanks :-)
User:it was nice talking to you
Doctor:Wishing you happy festive season
Doctor:Same here
User:same to you
Doctor:Shall we close the chat now?
User:yes :-)
Doctor:take care
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