Brief Answer:
Please find treatment details below

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.

Vestibular vertigo is not related to lumbar disc bulge. BETAVERT is for vertigo.

As you are aware, the spine is made ups of small bones aligned on top of each other. They are named based of the region, the ones in thorax (chest) are named T 1 through T 12 and the ones in lumbar (lowerback) are named L 1 through L 5. There are small discs between two bones to provide cushioning and flexibility to the spine. Nerves exit on both sides through small holes (foramen) between two bones.

Your lumbar spine MRI done for low backache shows disc bulges involving discs at L 2 - L 3 level and L 5 - S 1 level. At these levels the discs are displaces backwards and are touching the covering of spinal cord (thecalsac). At the same time their sidewards displacement is causing pressure on nerve roots which pass through holes (foramen) between the two bones at above levels. The posterior bulging discs and nerve root compression can cause pain and you might be experiencing it.

Treatment for the pain often includes:
1. Over-the-counter pain medications.
2. Nerve pain medications.
3. Muscle relaxants.
4. Cortisone injections.

Bulging lumbar discs usually do not require surgery unless there is numbness or weakness, difficulty standing or walking and loss of bladder or bowel control.

At present there is not much risk of complications as there is mild disc bulge.

You may decrease pain by avoiding painful positions and following a planned exercise and pain-medication regimen. Apply hot and cold packs if necessary. Avoid too much bed rest.

Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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Brief Answer:
Please find details below

Detailed Answer:
Hi XXXX,
Thanks for writing in with an update.

In a small group of people undergoing laminectomy, back pain and sometimes leg pain may persist following laminectomy. This persistent pain is called post laminectomy syndrome. Post-laminectomy syndrome is also called Failed Back Surgery Syndrome, or FBSS. The pain you are having might be mainly from the earlier problem at D 10 - D 11 level and slightly due to the bulging discs at L 2 - L 3 and L 5 - S 1 levels.

As the laminectomy was done at a level different from the bulging discs, it is important to proceed after detailed clinical examination. As described, the bulging discs appear to be in early stage and any pain and restriction of movements needs to be discussed with your neurosurgeon, keeping in mind the earlier surgery.

If neurogenic pain killers and physiotherapy are not working for you then advanced treatments such as epidural nerve blocks, radiofrequency denervation and platelet rich plasma therapy might help. These have been introduced in developed countries and may soon be available in XXXXXXX

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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