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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing pain & secondary change of back muscle spasm

surgeon makes surgery and now I have less pain but still on pain my MRI : secondary change of back muscle spasm l4-l5 right fenestration laminectomy degenerated l4-l5 showing right posterior paracentral disk extrusion with caudal migration compromising right l5 nerve root do I need surgery or I can be better with conservative treatments?
Mon, 16 Jan 2017
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Physical Therapist or Physiotherapist 's  Response
Hi,

Since it is a disc extrusion, it will be good if you go for a surgery to eliminate the compression of nerve root. Though post surgery it will be good to take a physical therapy treatment. Till then hot pack and exercise like back press, back extension, bridging, planks will prevent worsening and aid in healing.

Hope this helps you. Let me know if I can assist you further.

Regards,
Dr. Jenis Bhalavat
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