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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for disc protrusion at L4 and L5?

hi doctor recently on my mri scan i have been diagnosed with L4 -5 central and B/L paramedian disc protrusion indenting the anterior thecal sac and causing B/L L4 -5 lateral recess stenosis with Lt L5 traversing nerve root compression at the Lt L4 -5 lateral access also L5 -s1 disc bulge is seen ,so i want to know will i be completely cured as i have mild pain on my lower and like somewhat a sense of pain sometime on my calves and hamstring when i sit on a chair no difficulty while walking the pain started 4 months ago as i am 26 years old only
Mon, 12 Oct 2020
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Internal Medicine Specialist 's  Response
Hello,

With that degree of disc protrusion and thecal sac involvement, you really need a Fusion of the L4-L5 vertebrae. This would take the pressure off the impinged nerve roots and in theory provide substantial relief. There is no way to know if the surgery would be a 100% cure, in fact I doubt it would be that high but you certainly would have significant improvement. I doubt treatment with any pharmacotherapy would even come close to the relief produced with this procedure.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. David Girardi, Internal Medicine Specialist
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What is the treatment for disc protrusion at L4 and L5?

Hello, With that degree of disc protrusion and thecal sac involvement, you really need a Fusion of the L4-L5 vertebrae. This would take the pressure off the impinged nerve roots and in theory provide substantial relief. There is no way to know if the surgery would be a 100% cure, in fact I doubt it would be that high but you certainly would have significant improvement. I doubt treatment with any pharmacotherapy would even come close to the relief produced with this procedure. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. David Girardi, Internal Medicine Specialist