HomeAnswersSpine Surgeryspinal cord compressionMy doctor recommended losing weight to manage my L4 to L5 disc compression. What do you suggest?

What should I do after being diagnosed with L4 to L5 disc compression?

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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 November 27, 2022
Reviewed AtJune 15, 2023

Patient's Query

Hi doctor,

I have had pain in my lower back for two months, and I finally went to a hospital. The doctor ordered a CT for me, and it turns out I have L4 to L5 central and left paracentral disc bulge compressing the thecal sac and the left nerve root. The doctor said it was not serious enough to have surgery, and he just recommended losing weight (my weight is 230 pounds, and my height is five feet eight inches) and some painkillers. Please help.

Hi,

Welcome to icliniq.com.

Yes, your doctor is right. I suggest you to avoid lifting heavy weights, avoid arching your back, instead bend your knees to pick up something from the floor, avoid sitting for long hours, avoid two-wheeler rides, improve your posture while sitting, 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, do not get up suddenly from a sleeping position, rather turn to the side and then get up, take bed rest if you have severe pain, do hot fermentations locally over the affected area at least twice daily, and apply Oxalgin gel (Diclofenac and Menthol)locally twice daily. Do physiotherapy such as 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 a physiotherapist's supervision or learned 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. This is only a second-opinion platform. This professional advice is 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 could be L4 to L5 mild disc with nerve root compression.

Regarding follow up

Follow up after five days.

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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