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Suggest Treatment For Pain Due To Disc Prolapse

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Posted on Mon, 16 Jun 2014
Question: suffering from low back pain for last two years. earlier diagnosed in MRI with disc extrusion at L3-4 and protrusion at L4-5 causing C5 nerve root compression. but now i am diagnosed with mild annular bulge at L3-4 causing thecal sac indentation, annular tear and broad based mild posterior disc herniation more towards right at L4-5 causing mild thecal sac compression. still suffering with radiating pain to the right leg. help me with the treatment options
doctor
Answered by Dr. Dr. Praveen Tayal (47 minutes later)
Brief Answer:
Details below.

Detailed Answer:
Hello,
Thanks for posting your query.
You are having a disc prolapse with stenosis of the foramina from which nerves come out causing the nerve compression.There is a vertebral disc between each vertebra, it acts as a shock absorber, it is composed of two parts, the outer part called the annulus fibrosis (you have a tear in the annular ring) and the inner aspect , that is normally fully surrounded by the annulus, called the nucleus pulposus.
The lower discs L4-L5 and L3-L4 take the most strain and are more likely to herniate.
The herniation of the central disc (nucleus) is compressing on your nerves and is contributing to your symptoms.
The treatment normally entails a few days of rest (not too long because it can cause reduced muscle strength and loss of bone density), use of pain medication, muscle relaxants if they are thought necessary and physiotherapy. The majority of herniated discs will heal themselves in about six weeks and do not require surgery. Non-surgical methods of treatment are usually attempted first, leaving surgery as a last resort and in this non steroidal drugs, lumbosacral back support and steroid injections are very useful.
Surgery should only be considered as a last resort after all conservative treatments (non-surgical therapy) have been tried. And these include facetectomy, foraminotomy, intervertebral disc annuloplasty, intervertebral disc arthroplasy, laminoplasty, laminotomy, microdiscectomy or spinal laminectomy.
Please consult an orthopedic surgeon/spine surgeon and discuss these treatment options with him. Till then, do a combination of strengthening, stretching and low-impact aerobic exercise after consulting a phsyiotherapist.
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.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Pain Due To Disc Prolapse

Brief Answer: Details below. Detailed Answer: Hello, Thanks for posting your query. You are having a disc prolapse with stenosis of the foramina from which nerves come out causing the nerve compression.There is a vertebral disc between each vertebra, it acts as a shock absorber, it is composed of two parts, the outer part called the annulus fibrosis (you have a tear in the annular ring) and the inner aspect , that is normally fully surrounded by the annulus, called the nucleus pulposus. The lower discs L4-L5 and L3-L4 take the most strain and are more likely to herniate. The herniation of the central disc (nucleus) is compressing on your nerves and is contributing to your symptoms. The treatment normally entails a few days of rest (not too long because it can cause reduced muscle strength and loss of bone density), use of pain medication, muscle relaxants if they are thought necessary and physiotherapy. The majority of herniated discs will heal themselves in about six weeks and do not require surgery. Non-surgical methods of treatment are usually attempted first, leaving surgery as a last resort and in this non steroidal drugs, lumbosacral back support and steroid injections are very useful. Surgery should only be considered as a last resort after all conservative treatments (non-surgical therapy) have been tried. And these include facetectomy, foraminotomy, intervertebral disc annuloplasty, intervertebral disc arthroplasy, laminoplasty, laminotomy, microdiscectomy or spinal laminectomy. Please consult an orthopedic surgeon/spine surgeon and discuss these treatment options with him. Till then, do a combination of strengthening, stretching and low-impact aerobic exercise after consulting a phsyiotherapist. 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. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal