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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Medication For Disc Generation At L5-S1 Level With Bilateral Disc Bulge

hello doctor,my mri report reads as disc degeneration at L5-S1 level with bilateral porterolateral disc bulge with focal annular tear causing indentation of theca and narrowing of bilateral neural foraminae at this levels..kindly advice regarding the severity and treatment choices
Fri, 2 May 2014
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Sports Medicine Specialist 's  Response
I would keep surgery as an absolute last resort. If you have pain that radiates down the legs, with an electrical or burning character, then you should try a medication for nerve pain, such as Gabapentin, Pregabalin, or Cymbalta. Otherwise, a course of physical therapy/chiropractic and/or lumbar epidural steroid injections can also help.
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Need Medication For Disc Generation At L5-S1 Level With Bilateral Disc Bulge

I would keep surgery as an absolute last resort. If you have pain that radiates down the legs, with an electrical or burning character, then you should try a medication for nerve pain, such as Gabapentin, Pregabalin, or Cymbalta. Otherwise, a course of physical therapy/chiropractic and/or lumbar epidural steroid injections can also help.