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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for ruptured l4/l5 disc

my l4/l5 disc is ruptured and it is pinching my sciatic nerve, and my l5/s1 disc has degeneration going on, what can i do? and will these heal? im 20 years old, 6'1 260 lbs athletic and strong build and i was hoping i would'nt have to get surgery, i am into brazilian jiu jitsu and grappling, will i ever be able to compete in these sports again?
Thu, 26 Jun 2014
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General & Family Physician 's  Response
Hi
Thank you for asking HCM
I have gone through your query.The treatment option depends upon the extent of injury.For mild and moderate injury i treat with NSAIDs like Aceclofenac muscle relaxants like thiocolchicoside neurotropic drugs physiotherapy and exercises.If it is severe injury or those who are not improving with all these measure on mild to moderate cases i recommend surgical decompression of impinged nerve.Now microdiscectomy surgery is available which you dont need a hospital stay also.For continuing into sports,depends on the extent of recovery and strengthening of muscles.But it is advised not to go into violent sports in most of the cases.Hope this may help you.
Let me know if you have any further query.
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Suggest treatment for ruptured l4/l5 disc

Hi Thank you for asking HCM I have gone through your query.The treatment option depends upon the extent of injury.For mild and moderate injury i treat with NSAIDs like Aceclofenac muscle relaxants like thiocolchicoside neurotropic drugs physiotherapy and exercises.If it is severe injury or those who are not improving with all these measure on mild to moderate cases i recommend surgical decompression of impinged nerve.Now microdiscectomy surgery is available which you dont need a hospital stay also.For continuing into sports,depends on the extent of recovery and strengthening of muscles.But it is advised not to go into violent sports in most of the cases.Hope this may help you. Let me know if you have any further query.