Q. What is the right treatment for mild diffuse disc bulge in L4-L5?

Answered by
Dr. Aida Quka
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 05, 2018 and last reviewed on: Oct 09, 2018

Dear doctor,

My mother has been experiencing little back pain for more than three years. So, she has been consulting some neurosurgeons for some time but no major problem has been detected by them. Recently, the pain has increased a lot. She had consulted a nearby orthopedic surgeon. He has taken an MRI. Now, he has detected a mild diffuse disc bulge in L4-L5 disc causing mild central canal stenosis and abutting bilateral traversing nerve roots with adequate foramina. He has suggested my mother take physical rest for more than two months and he has given some medication. He has been saying that the current issue with L4-L5 disc bulge is not very serious and can be treated with medication and physical rest. If the disc bulge does not get treated with medication even after some time like six months, then he said he would suggest a neurosurgeon who would operate on my mother for L4-L5 disc bulge. As I am not very familiar with medical terms, I wanted to take your help online to get better suggestions for my mother's treatment. Please suggest me the right treatment for the current condition. All the medical reports and MRI reports have been attached to this email. I hope for the best treatment for her in the current scenario.

#

Hello,

Welcome to icliniq.com.

I agree with her doctor that surgery should be postponed as much as possible considering the mild bulging.

I suggest using painkillers and Amitriptyline (if no contraindications) for the pain. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Holding a lumbar brace and performing physiotherapy can help improve her situation. If the pain persists, surgery should be discussed again. Kind regards.

For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist


Was this answer helpful?

 | 

Related Questions:
I am having pain behind breast that is radiating to underarm. Please help.

From that, I was told that I have severe arthritis in the lumbar with possible nerve impingement ... Advice from spinal MRI was no nerve impingement ...   Read full

What is the right treatment for mild diffuse disc bulge in L4-L5?

Now, he has detected a mild diffuse disc bulge in L4-L5 disc causing mild central canal stenosis and abutting bilateral traversing nerve roots with adequate foramina ...   Read full

I am suffering with disc bulge. Please get me a solution for it.

Hi doctor, I am suffering from disc bulge at the level of L5-S1 ... You have mentioned from MRI findings as L5/S1 disc bulge, instability at L5/S1 level and pars defect of L5 with likely com...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


When can physiotherapy be started after bilateral hip replacement surgery?

Query: Hi doctor, I had bilateral hip replacement surgery done recently. The right hip was replaced last month, and the left hip was replaced this month. Is it advisable to do physiotherapy now?  Read Full »

Can you look at my MRI and explain the reason for burning pain in feet?

Query: Hi doctor, I have had a problem with my feet now for four years. About four years ago, I had some burning pain in feet. I cannot stand for more than 15 minutes or the pain gets very bad. Four years ago, I also had really bad pain in my legs after standing all day. That has diminished and now I stil...  Read Full »

What is the best treatment for Erb's palsy?

Query: Hi doctor, My daughter has Erbs palsy but we did physiotherapy for three months and the doctor said she is fine but she is still struggling with the hand and this is about six months after the doctor discharged us. Please tell me what should I do.  Read Full »

Also Read


Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.