Thanks for posting your query.
The diffuse bulge of L4-L5 disc with annular tear are the age related degenerative changes of the spine causing the low back pain
radiating to the leg. Since there is no nerve root compression
right now, there is no need to worry.
The treatment is done according to the severity of symptoms. Medicines are the first line treatment along with physiotherapy
. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to in severe nerve compression cases.
The main treatment of such problem is bed rest
along with pain killers and muscle relaxants. Muscle relaxants can help with her symptoms if used in appropriate dosage in combination with a potent analgesic
. You can get these prescribed from her orthopedician. Right now she is taking only a pain killer- Nucoxia.
Local analgesic gels and hot fomentation may provide a short term relief. She can use analgesic gels like Volini
gel. Exercise is not advisable in the times of acute pain.
Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Discuss with her orthopedician and an appropriate treatment can be planned depending on the response to medical drugs.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Dr. Praveen Tayal.