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Dr. Andrew Rynne

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What Causes Annular Disc Bulge With Pain In The Lower Back?

Hiee Doc, My MRI shows an annular disc bulge at L4-5. I have unbearable back pain mostly in the lower back and the pain is maximum in the mornings and after noon time that continues till the night. I ahve been prescribed Mobizox for few days . Pls let me know the dos and donts for this disc bulge problem tretment. I am 32 , ht. 5 feet and 42 kgs.
Mon, 30 Jun 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

I have noted your symptoms and MRI report findings.

L4-L5 disc disease is common in people with desk jobs, in the absence of regular exercises.

There is no need to worry, as significant improvement can be obtained by proper treatment and precautions.

The most important is to start physiotherapy with IFT, ultrasound, etc. Back extension exercises should also be started.

You should avoid forward bending and lifting heavy weights.

For pain, you may take pregabalin or gabapentin capsules.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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What Causes Annular Disc Bulge With Pain In The Lower Back?

Hi, Thank you for posting your query. I have noted your symptoms and MRI report findings. L4-L5 disc disease is common in people with desk jobs, in the absence of regular exercises. There is no need to worry, as significant improvement can be obtained by proper treatment and precautions. The most important is to start physiotherapy with IFT, ultrasound, etc. Back extension exercises should also be started. You should avoid forward bending and lifting heavy weights. For pain, you may take pregabalin or gabapentin capsules. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in