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Having pain in back, thighs and legs. MRI scan done. Looking for the suggestion

hi sir i have sever pain in by back and thigh ,legs, according to my mri 2008 i have 1,right sacroillitis 2, diffuse postero-central disc bulge at l4-l5 level causing mild anterior thecal sac indentation and partial effacement of bilateral lateral recesses. i hav done second mri at aug 2011. 1. straighened lumber survanture,2.mild pivd at l3-l4 and l4-l5 level , however no signifificatant compression or thecal sac or nerve rots is seen
Asked On : Mon, 19 Mar 2012
Answers:  1 Views:  86
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

Both of your MRI scan findings are suggestive of lumbar disc disease.

The preliminary management of this condition is by way of conservative methods, which include the following -

- Absolute bed rest for 1or 2 days will alleviate your back pain
- Avoid sitting for prolonged periods of time
- Avoid lifting heavy weights
- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion
- Intermittent pelvic traction (under the supervision of a physiotherapist) might be helpful to cause a regression of the protruded disc
- Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed.
- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength.

Hope this information is helpful. Good day
Answered: Thu, 20 Mar 2014
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