What does L4-L5 and L5-S1 diffuse disc bulge on MRI indicate?

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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 up from your chair every 20 minutes take a quick walk around and then continue working. Always sit on a chair with back support.

7. Do not get up suddenly from a sleeping position. Rather, turn to the side and then get up.

8. Take bed rest if there is severe pain.

9. Do hot fomentations locally over the affected area at least twice daily.

10. Apply Oxalgin gel locally twice daily,

You need to take the following medicines,

1. Tablet Pregabalin 75 mg once at night for 10 days before food.

2. Tablet Ibuprofen 400 mg twice a day for 10 days after food.

3. Tablet Rabeprazole 20 mg twice a day for 10 days before food,

4. Tablet Shelcal (Calcium) 500 mg twice a day for 30 days before food.

5. Tablet vitamin D (60,000 units) once daily for 10 days, 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. Follow-up immediately in case of any untoward reactions. Do physiotherapy, McKenzie's back extension exercises, back core strengthening exercises, glute strengthening exercises, and passive straight leg raising exercises. These exercises can be done initially under the supervision of a physiotherapist or learn to do it at home. Start physiotherapy once the pain reduces. Only regular exercises can give results. After the pain reduces, the following activities are good for you such as swimming, yoga, and walking. Jogging, running, and weight-lifting may aggravate back problems.

Thank you.