Get your Health question answered in 3 easy steps

123 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

My L4 L5 of spine is dislocated. What exercise should i do ?

L4 L5 of spine dislocated. I feel very uneasy right from waist to foot when I walk. Please suggest the best option which I should follow. Once a physiotherapist advised me to do exercise lying flat and chest up with help of both hands whereas other advised me lying mouth upward and to bend knee and then chest up, Former excercise gave a lot of relief whereas latter did not. I am 35 years old. L4 - L5 of spine dislocated probably in 2005. Firstly I was not aware of the problem. Earlier when I used to do anything in sitting position and then stood, I felt muscles/bones locked at the back side of waist. Now these days I feel very uneasy right from waist to foot when I walk. Please suggest the best option which I should follow. Once a physiotherapist advised me to do exercise lying flat and chest up with help of both hands whereas other advised me lying mouth upward and to bend knee and then chest up, Former excercise gave a lot of relief whereas latter did not.
Wed, 4 May 2011
Report Abuse
Question is related to
Diseases and Conditions ,  
Treatment/Therapy
Lab Tests ,   ,  
General & Family Physician 's  Response
Hi
Welcome to health care magic forum.

Phsiotherapy and the excercise are the temporary measures to reileve the pain .
Permanent solution is a surgical correction of the prolapsed disc at L4-L5 .Only a surgical correction is the way to get rid of the pain.
I find this answer helpful
General & Family Physician Dr. Tulasi Raman.P's  Response
Hi Anirudh Kumar,

Thanks for the query.

You are suffering from a condition called "Spinal Disc Herniation (prolapsus disci intervertebralis)" at L4-L5 level...

It is a condition where, the disc between the two vertebral bodies has been pushed forward, thereby compressing the nerve roots at that level... That is the reason for your symptoms "muscles/bones locked at the back side of waist".

Initially, the symptoms will be relived by Physiotherapy. But as time progress the pathology becomes severe which cannot be relived by physiotherapy alone...

I strongly suggest you to consult an orthopaedic surgeon...

After a thorough physical examination...
He will ask you to conduct the following investigations...
1. X-ray of spine - AP & lat view
2. MRI of spine

Following which he may advice you on a surgery called "Discectomy" wherein he will surgically remove the herniated disc which will relieve pressure on the nerve roots thereby relieving you of the symptoms.

Hope this answers your query...

Thank You,
Dr.Tulasi Raman.P
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

Sir..m 56yr old(M)..i was admited in hospital 15 days back bcz i sudden hearing lost on lft side.that time did mri for cervical spine and report was degenerative changes of the cervical spine with left centrolateral bulge of C3-C4 & C4-C5 discs with assosiated posterior osteophytes causing thecal impingement & lft sided foraminal enchroachment.rt centro lateral protrusion of C5-C6 disc causingthecal impingement .central bulge of C5-C6disc with thecal impingement. doctor told me to do exercise .sir what type of exercise should i do?

doctor1 MD

I have been having a lot of pain that continues to worsen over a 2 year period. The doctors was running test only on my lumbar area because a couple of years ago I had decompression surgery in L4-L5. However I found a doctor who listened to me & ran the test I requested. However he only said come back & see me in a couple of months without any therapy & advised me to go online & look up cervical exercises & make sure I keep my neck lose. In addition he said massages would be good. Please see MRI results below: At the C4-C5 level, a broad based disc osteophyte protrusion appears to be present far lateral to both the right and left and posteriorly extending 3 mm posteriorly and centrally with asymmetric compontents towards each nerve foramen greater on the right than the left of approximately 5 mm to the right. Severe right neural foraminal stenosis is noted with moderate left nerve foraminal stenosis the noted. Contact of the exiting nerve root on the right and left may be present. Anterior cord contact at this level may be present with mild to moderate central canal narrowing to approximately 9 mm. At the C5-C6 level, broad based disc osteophyte spurring is noted that may relate to a broad based disc osteophyte protrusion of approximately 3 mm centrally. Moderate to severe left neural foraminal stenosis is noted with moderate right neuroforaminal stenosis. The anterior thecal sac is thinned but the anterior cord is not obviously contacted. The exiting nerve roots may be affected bilaterally particularly on the left. At the C6-C7 level, a centralprotrusion is noted of 4 mm. Moderate left neural foraminal stenosis is noted with mild right neural foraminal stenosis noted. Mild central canal stenosis is noted with the central canal narrowed to 9 mm. Anterior cord contact may be present. This protrusion descends slightly centrally. My concern is no one has treated me & the pain is so severe that just going to pick up a few things at the grocery store puts me in a lot of pain. While trying to shop I have pain in my feet, hands, and backaches within 15 minutes on my feet. In addition I still work but am in constant pain. The pain in both hands, pins & needles in my buttocks, headaches and the most recent added symptom is dizzeness! When I get home I soak in hot water then go to bed to get relief! Should I be concerned that my doctors has not put me into therapy? Can I end up with permanent paralysis? What should I do now? Thank you. BD

doctor1 MD

Hi, I ve got an existing spine problem, my spine at L4 is damaged because of an epidural some years ago. Anyway, I manage this and continue with life the best I can - I have started to feel pain in another area of my spine now , in my middle back, it aches but is more of a sharp pain depending on my movement - it also pulses right in my spine. I often suffer with my sciatic nerves swelling as a result of the damage at L4 but this feels completely different -as in not disc or nerve related, but it doesn t feel like muscular neither - it s actually right in the bone?? I ve been doing new exercises for the last 4/5 weeks which involves jumping and weight bearing and while I do make sure I m warmed up and I m careful (due to the existing problem) I m worried this could be damaging me. I haven t done any exercise other than stretching my spine in the last 7/8 days and I m not seeing an improvement and starting to get a little worried now. I m not overweight and I m quite fit and healthy if it matters.

Recent questions on MRI

doctor1 MD

my daughter has recently been diagnosed with idiopathis scoliosis, she has 2 50 degree bends plus a twist in the middle, she seems to have got worse and is not suffering from sharp pains at the base of her skull up into her head, she is scheduled for surgery but we are waiting on mri scan to rule out underlying issues, she has asymmetric tummy, should i be concerned and speak to the surgeon with these pains

doctor1 MD

I recently had an MRI done for leg numbness and pain also very limited movement to lift my right leg, I have an appointment this coming wk with an ortho Dr. shows some bulging and minor tear in L3-4 plus alot of other things. Also what concerns me more is evaluated lesions at the right kidney, which when I was called with the MRI results this was not mentioned. My father had a kidney remove because of cancer , should I be concaened and should I insist on follow up care.

doctor1 MD

Hello Doctor, My dad 58 is suffering from bone tb in cervical region (C5,C6,C7), he developed weakness in legs and coudnt walk w/o support. Initially he was treated by ortho who put him on 4 drug ATT and performed a minor operation of draining pus but his condition worsened after operation (paraplegic Complete motor and sensory loss in legs, no sense of bladder ) and was refrred to a neurosurgeon. He was operated again and decompression and bone grafting was performed, after one month also his condition did not improve and an MRI was taken again. Doctor said that there is a degeneration in the vertebrae which forms lower part of the graft and the screws were displaced from their position and were causing compression of spinal cord. He was again operated and the graft was removed(by a different doctor). Doctor said that due to multiple operations he has become weak and said that will keep him under observation for sometime and if required operation can be performed after a month. Meanwhile my dad has problem swollowing which was not there after 2 previous operations. He was put on complete bed rest by the previous 2 doctors but this doctor makes him sit for 5 min daily and has also said that will try to make him sit on wheel chair in some days. My question: Is my dad being treated the right way?

doctor1 MD

Am querying current line of thinking by several consultants. Admitted to hospital May 2011; lumbar puncture showed elevated CSF protein of 1088 mg/L with 228 white cells, 95% lymphocytes. The working diagnosis was viral meningitis, and I was discharged after 2 days aciclovir. Negative for herpes simplex virus 1 and 2. Developed infection in leg early October 2011, followed by painful groin, then ulcers either side of scrotum - non painful, and diagnosed as shingles. Mid October 2011, following tinitus, buzzing , hearing different frequencies, then vertigo, admitted for 2 weeks in ID ward...CSF showed 614 white cells with 90% lymphocytosis. CSF protein raised at 1335 mg/L. Tested for everything under the sun, incl. HIV, syphillis, Lyme disease, Cat scratch fever (leg infection thought to have been through an insect bite). All negative, incl. ANA. Chest x-ray, MRI scan of brain and whole spine also negative. Admitted again 26th December 2011, aciclovir for seven days, now back home feeling well, if a little tired. Current thought is Mollarets meningitis, but more recently, rheumatology dept. thinking Behcets syndrome, as I suffer from mouth ulcers. My contention is this; I have sufferd from mouth ulcers since a teenager taking exams at school. If I have a job interview, I will get mouth ulcers after @ 48 hours. Dentist thinks stress induced, as do I. I have no aching joints and no eye irritation, also, just found out that HLAB51 negative. I am a 42 year old British male and caucasian. I can t help feeling there s a square peg being pushed into a round hole here. What about migraine; the tinitus, buzzing and vertigo? Also, I took a non-steroidal (Ibuprofen) prior to the first two episodes. Bickerstaff s encephalitis sounds just as plausible as Behcets...or am I in denial? I would appreciate any advice, even if it s to simply face the music . Thank you for your time.

doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in shoulder, elbow and dorsal side of forearm. Some twitching in wrist and hand.

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing helps. Something does not seem right. My Dr. has released me and says it will take a year to get...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov in my back which seemed to help the pain going down my legs for a couple of weeks. Unfortunately I...