HomeAnswersSpine healthdisc bulgeI have severe pain in my legs, and I have a diffuse disc bulge at LV4-LV5. Kindly help.

What are the treatments for diffuse disc bulge and severe leg pain?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At September 19, 2023
Reviewed AtSeptember 19, 2023

Patient's Query

Hello doctor,

I have a diffuse disc bulge noted at LV4-LV5 that has caused thecal sac indentation and there is abutting bilaterally exiting nerve roots. I have severe pain in my legs, and I am currently taking painkillers and muscle relaxants. Please help.

Hi,

Welcome to icliniq.com.

I appreciate that you have chosen icliniq for your medical needs.

Your scenario requires proper medicines and physiotherapy. From the MRI (magnetic resonance imaging) report (attachments removed to protect the patient's identity), and from my experience, I feel that you need to try other medicines. Kindly follow the given instructions for your back pain:

  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 riding in two-wheelers.
  5. Improve your posture while sitting.
  6. Try to get up from your chair every 20 minutes and take a quick walk and then continue working. Always sit on a chair with back support.
  7. Do not get up suddenly from a sleeping position. Instead, turn to the side and then get up.
  8. Take bed rest if you have severe pain.
  9. Do hot fomentations locally over the affected area at least twice daily.
  10. Apply Diclofenac sodium (Oxalgin gel) locally twice a day.

Also, I suggest you take the following:

  1. One tablet of Pregabalin 75 mg at night for 15 days before food at 7 p.m. every day.
  2. A tablet of Etoricoxib 60 mg one in the morning and another at night for 10 days after food.
  3. A tablet of Rabeprazole 20 mg one in the morning and another at night for 10 days before food.
  4. A tablet of calcium and vitamin D3 (Shelcal) 500 mg one in the morning and another at night for 30 days before food.
  5. One tablet of vitamin D (60 K units) once daily for 10 days and then once a month for 11 months.

Take these tablets only if you are not allergic to them. Do not take these tablets if you have bronchial asthma.

Thank you for reaching out to me at icliniq.com.

“This professional advice provided by me stands subject to the actual examination of the report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings.”

Probable diagnosis

The probable diagnosis is the compression of L4-5 disc on the exiting nerve roots along with left leg radiculopathy.

Treatment plan

Advised medications.

Preventive measures

Preventive measures as mentioned above should be followed.

Regarding follow up

Follow up- for a complete treatment protocol is required.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sharoff Lokesh Mohan
Dr. Sharoff Lokesh Mohan

Orthopedician and Traumatology

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