Dear doctor, My Problem right side leg pain both leg foot numbness, difficulty for walk MRI Report below 1) L3/4 disc revels posterior bulge with annual tear indent both traversing nerve root 2) L4/L5 disc reveals posterior herniation with bilateral forminal component ,compress both traversing and indents both exiting nerve root This Is My MRI Report Please suggest next.

Dr. Ankur GuptaGeneral Physician11yrs exp

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Hello lybrate-user being a physician I ll tell you conservative management to help. But if this doesn't work for you then I am afraid you have to go for a surgery advice 1. Stop any weight lifting strictly. Sometime unknowingly also we pick some weigh like bucket of water or a small kid in home or lpg cylinder etc. So you have to watch out for that 2. No sitting on floor and getting up 3. Apply lumbo- sacral belt while prolong sitting and while traveling 3. Please exercise and go to a professional physiotherapist for guidance. Loose some weight like 3 to 4 kg 4. Tab. Gabapin NT 100/10 twice a day after meals for 2 weeks 5. Tab. Ultacet twice a day after meals for 2 weeks 6. U can apply locally any gel (volini) and do hot fomentation if it's pain more 7. Sit straight always please do 1. Sr. Calcium levels 2. Vitamin D3 levels 3. IPTH levels 4. Sr. Phosphorus levels 5. TSH levels 6. Uric acid levels 7. B12 levels review with report.  

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