Lumbar Brace

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Do I require any surgery for L1 vertebra fracture?

Query: Hello doctor, I had a fall at home and got fractured in my L1 vertebra. My local doctor is treating me conservatively. I use back brace while walking (maximum five minutes) and doing physiotherapy. As far my work is considered, extensive travel is required. Within how many days, I will get fully f...  Read Full »

Dr. Bhanu Tej

Orthopaedician And Traumatologist

Answer: Hello, Welcome to I read your query. It is almost 3.5 weeks since the injury. I saw your scan film (attachment removed to protect patient identity). Treatment/management of vertebral fractures depends on two factors mainly. 1. Is there any neurological deficit due to the fracture fr...  Read Full »

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

Query: 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 ...  Read Full »

Dr. Aida Quka


Answer: Hello, Welcome to 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 ...  Read Full »

MRI says degenerative changes seen. Is any treatment required?

Query: Hello doctor, My father whose age is 48 years, got a back pain a month ago. So, we consulted a local doctor. He suggested an MRI test. We did that and his report says 'degenerative changes affecting lumbar spine with left para-central disc bulges with posterior annual tear at L4-L5 and L5-S1 levels...  Read Full »

Dr. Aida Quka


Answer: Hello, Welcome to Regarding your concern, I would explain that these MRI findings are indicative of chronic degeneration of the vertebral column. There is no need for surgery. Nothing serious is going on. I would just recommend taking painkillers, avoiding prolonged sitting or standi...  Read Full »

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