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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Disc Bulges On L3-L4 And L4-L5?

Hi,My wife got disc bulges at L3-L4 & L4-L5 levels causing indentation of thecal sac and bilateral traversing nerve roots. A lots of treatment happened along with regular Physiotherapy but it getting worse. Kindly advise what to do. Thanks, Anand
Tue, 9 Sep 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc.
There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.
If you don’t get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care

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How To Treat Disc Bulges On L3-L4 And L4-L5?

Hello, Thanks for your query. These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don’t get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms I do hope that you have found something helpful and I will be glad to answer any further query. Take care