I had severe back pain a month back with paracentral Protrusion at L3-4 inter vertebral disc causing significant compression of thecal sac Loss of normal lordosis Not I am fine with no pain in back So can I resume playing cricket from now.
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Do normal activites, do not exert yourself!
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Hi lybrate user, you mentioned having protrusion of intervertebral disc l3-4, it is important to understand the disease & prognosis first. Having protrusion is not a normal phenomenon, it occurs due to weakness of posterior part of disc (mainly annulus fibrosus, causing central gelly part nucleus to leak/ protrude backward) either due to trauma or degeneration of body due to age or lifestyle. Most of patients get relief from pain in 2-3 weeks time with conservative management (rest, medication, physio), but the main problem of disc bulge never gets healed unless some intervention is done inside. Your nucleus does not go back, neither your weak/ broken fibre of annulus gets repaired on its own. Your pain might have gone or reduced but let me assure you, your disc protrusion will remain there, till something is done (take mri after 6 months or 1 year & you will find protrusion still there),& if nothing is done you will be always prone to develop extrusion or further foraminal / canal stenosis. If you play sports make sure you take opinion from either orthopedician/ interventional pain specialist who can assess how likely your protrusion can aggravate depending upon current mri. We can not say with 100% surety batting, bowling or fielding will cause further aggravation, even sudden forward bending can aggravate it & even dive during cricket fielding might not cause aggravation. Advise would be take opinion on which activity can be easily done & which activity needs precaution. Try building back muscles, which will nit only protect spine but also distribute load from disc to other parts, mainly muscles. Hope it helps.
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