When the intervertebral disc, which serves as the cushion between two vertebrae, slips from its normal position or swells up, it is called disc bulge. It causes nerve compression and thus results in symptoms like tingling or pain in the back, neck, or shoulders, leg pain, numbness, weakness, and sciatica. It can result from poor posture, sudden load to the vertebrae, and due to genes.
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I have been experiencing pain in both of my shoulder blades and I feel knots in my scapula. Why?
Query: Hello doctor, For the past few weeks, I have been experiencing pain or burning in both of my shoulder blades. It does not hurt at the same time, but it alternates and sometimes the pain goes down the back of my arms or in my armpit area or it radiates underneath my ribs and goes down my side (all... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for posting your query. I have gone through your history, and a disc bulge at C4 - 5 levels would not cause pain around the scapula. However, your arm and axilla pain can be related to it. Knot-like feeling around the scapular region is due to the mi... Read Full »
What does post-polio syndrome mean?
Query: Hi doctor, The patient is a 50 year old woman with a history of polio in childhood and complains of paresthesia since a year. It started suddenly from the toes on both sides and it progressed to upper back (T4) in 20 days. She was hospitalized with post-polio syndrome and treated with IV Ig. She co... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I do not quite agree with post-polio syndrome. Post-polio syndrome after these many years is quite rare. From a neurosurgical point of view, when I look at her MRI cervical spine (attachment removed to protect patient identity), there is a significant disc bulge pr... Read Full »
Could you please review my MRI reports of the lumbar spine?
Query: Hi doctor,I have attached the reports of the MRI of my lumbar spine. Could you please review my reports? Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I suggest the following: Avoid lifting heavy weights. Avoid arching your back. Instead, bend your knees to pick up something from the floor. Avoid sitting for long hours. Avoid two-wheeler rides. Improve your posture while sitti... Read Full »
Query: Hello doctor, My father is 50 plus in age. He has had the bulging disk for the last 1.5 years. He tried acupressure, acupuncture, and physiotherapy, but the condition was the same. Is there any remedy for this? Read Full »
Answer: Hello, Welcome to icliniq.com. I need to see either your father's MRI (magnetic resonance imaging) scan or the X-ray report. Till then, ask him to take the following precautions- Avoid lifting heavy weights, Avoid arching the back. Instead, bend the knees to pick up something from the floor. ... Read Full »
Query: Hello doctor, I had severe leg pain, and it started a few months back. The pain is increasing day by day, and now I think it has reached a peak level that I cannot bear it. So I took an MRI scan. The result says the following. Loss of lordosis. Minimal posterior disk bulge at L3 to L4 level indenti... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I reviewed your reports (attachments removed to protect the patient's identity), and I suppose it is severe slip-disk pain radiating to your lower limbs. The disk acts as a shock absorber between your vertebrae (sp... Read Full »
My doctor recommended losing weight to manage my L4 to L5 disc compression. What do you suggest?
Query: Hi doctor, I have had pain in my lower back for two months, and I finally went to a hospital. The doctor ordered a CT for me, and it turns out I have L4 to L5 central and left paracentral disc bulge compressing the thecal sac and the left nerve root. The doctor said it was not serious enough to h... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, your doctor is right, 1. Avoid lifting heavy weights. 2. Avoid arching your back. Instead, bend your knees to pick up something from the floor. 3. Avoid sitting for long hours. 4. Avoid two-wheeler rides. 5. Improve your posture while sitting. 6. Try to get u... Read Full »
Will physiotherapy resolve my bulged and desiccated L4 to S1 intervertebral discs?
Query: Hi doctor, I have had diffuse bulges of desiccated L4-L5 and L-S1 intervertebral discs with posteroventral focal disc protrusions and focal annular tear, indenting anterior thecal sac, causing mild to moderate spinal canal compromise, abutting traversing nerve roots, I have this problem for the past... Read Full »
Answer: Hi, Welcome to icliniq.com. I went through your query and understood your concern. Kindly share your scan reports so that I can assess the severity of the disc bulge and advice you on whether you need to undergo physiotherapy or surgery. Meanwhile, I suggest you to follow the instructions mention... Read Full »
Please explain the reason for my stiff neck from the MRI.
Query: Hello doctor, I woke up two months ago with a very stiff neck that has not fully gone back to normal. Now, I have a weak right arm, shoulder-neck pain, headache, and cracking neck. MRI of the cervical spine has been done. Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). You have disc bulges at C5 to C6 and C6 to C7 which are paracentral, not much nerve compression is going to be there. So, the pain you are referring to can be due to muscle spasm, or it can be du... Read Full »
Why do I have a bad back pain that is radiating to my right leg?
Query: Hello doctor, I have had bad back pain radiating to my right leg for the last few months. My right leg is weaker than my left. Also, I have numbness and tingling sensation in my right leg. In addition, there is pulling pain from the lumbar region to the leg. I have gone for physiotherapy during the... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and will surely help you out. I have reviewed your attachments (attachment removed to protect the patient's identity). Your symptoms suggest a bulging disc in the vertebral column, causing radicular pain in this region. Your lumbar spine MR... Read Full »
I have left leg sciatica with a referred pain down the heel. Will surgery help?
Query: Hi doctor, I have left leg sciatica. There is no back pain, but there is a referred pain down to the heel. I have recurring flare ups once in every six to eight months. I am currently taking Advil 3200 mg per day and ice. I feel great once the Advil kicks in. I got a selective nerve block on L5-S1 b... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand your symptoms. Before we go ahead and discuss the MRI, I would like to know some more clinical details. You said pain in the left leg. I would like to know here that which aspect of your leg is it. Either is it in the inner part or outer part or front or ... Read Full »