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HomeAnswersNeurologyligamentum flavumDo we need surgery for intervertebral disc displacement?

Do we need surgery for intervertebral disc displacement?

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 August 10, 2018
Reviewed AtSeptember 13, 2023

Patient's Query

Hi doctor,

I have severe leg pain in both legs. It occurs during night time. I have pain in lower back. My magnetic resonance imaging (MRI) report says there is diffuse disc bulge causing thecal sac compression at L4 to L5 and L5 to S1. There is small disc bulge causing thecal compression at D11 and D12 level. There is ligamentum flavum hypertrophy and facet hypertrophy seen at multiple levels causing bilateral recess stenosis. Please help me.

Answered by Dr. Aida Abaz Quka


Welcome to icliniq.com. These magnetic resonance imaging (MRI) findings indicate chronic degeneration of the column, with intervertebral disc displacement in two levels (thoracic and lumbar). There is no need for surgery. I recommend painkillers, a muscle relaxant for the pain and physiotherapy. It is necessary to lose some weight and avoid weight lifting.

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

Dr. Aida Abaz Quka
Dr. Aida Abaz Quka


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