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Dr. Andrew Rynne

Family Physician

Exp 50 years

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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
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General & Family Physician 's  Response
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.
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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
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