Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Lumbar Spine Bulging Disc Treatment

My mri l-s spine report says that broad based posterior disc bulge herniation with left lateralization at l5-s1 level and mild disc bulge herniation at l4-5 level what does it mean and future treatment.

Dr. Rahul Rai 91% (2663 ratings)
MSPT (Master of Physical Therapy), Bachelor of physiotherapy
Physiotherapist, Gorakhpur
Its mean you have problem with your back counslt to physio n ortho avoid forward bending n lifting object n ground sitting n long time sit or stand maintain urs postuer use lumbar belt n hot pack n analgesic cream on painful area take rest till pain subside.
2 people found this helpful
Submit FeedbackFeedback

I am having very bad pain in my right leg. Can't walk properly. Done with investigation n realized that I have acute l4 l5 spondylitis. What treatment shd I start?

Dr. Bhavesh Jani 89% (183 ratings)
BPTh/BPT
Physiotherapist, Vadodara
I am having very bad pain in my right leg. Can't walk properly. Done with investigation n realized that I have acute ...
Definitely your leg pain is because of your back as mostly back pain radiates to leg or calf. Most of back pain is mechanical and can be cured with physical therapy I will suggest you to do following 1. Posture correction: do not slouch while sitting and sit straight with tighten your back. As sitting slouch increases disc bulge more. 2. Do hot water fomentation three time daily 15 min 3. Apply local ointment like volini 4. Rest: give rest to your back whenever you're in pain 5: most important is do mckenzie back extension exercise (google it) every two hourly 6. Drink plenty of water 7. Avoid junk food or sour food like lemon, curd, tometo etc don't do any exercise which causes pain if no improvement in pain than consult local physiotherapist thank you.
Submit FeedbackFeedback

I had vitamin d3 deficiency which somehow did not get attention from my side for almost 2 years & I have landed up in few issues with my spine leading to body pain symptoms such as knees, legs, back fingers, shoulder, etc. Severity is more when I get up in the morning. I have directed to arthritis specialist however all arthritis tests were negative & problem did not settle even after Dr. treated me for about 4 months with lubrijointod 1 tablet daily and etova400 (painkiller). Subsequently, I was directed to pain management specialist, who advised to get x-ray & mri done for the spine. And multiple problems were observed related to the spine. 1. X-ray of the thoracolumbar spine: few marginal & few bridging osteophytes appears mildly reduced 2. X-ray of the pelvis with both hips: normal 3. Mri cervical spine: a. Partial fusion of vertebral bodies & right sided facet joints of c4 & c5 verbetre with rudimentary intervening intervertebral disc, suggestive of partial c4/c5 block vertebra b. The mild diffuse posterior bulge of desiccated c3-c4 intervertebral disc c. Mild left posterolateral bulge of dessicated c4-c5 intervertebral disc d. Mild hypertrophy at c5/c6 level 4. Mri -lumbar spine with sacroiliac joints screening: a. Mild left forminal bulge of the partially dessicated l3-l4 intervertebral disc, causing narrowing of the left neural foramen & indenting the left exiting l3 nerve root. B. Same as above for l4-l5. Exiting l4 nerve root c. The mild diffuse posterior bulge of the partially dessicated l5-s1 intervertebral disc, indenting the thecal sac. D. Mild facial arthropathy at l5-s1 intervertebral disc level request your guidance to know what is the exact problem? Is it repairable or I have to carry this as is? I still continue to have the pain. Any treatment would help me? (medicine-allopathy/ayurvedic/homeopathy or message.) I have taken physiotherapy for about 1 month & they had given me @30+ exercises to do on daily basis.

Dr. Jayasree Ramesh 91% (532 ratings)
MBBS, MD - Physical Medicine & Rehabilitation
Orthopedic Doctor, Mumbai
I had vitamin d3 deficiency which somehow did not get attention from my side for almost 2 years & I have landed up in...
You are having multiple small problems in the spine may be secondary to the degenerative changes in the spine. Only thing is you are only 57 years old and the age-related changes seem to be a little premature. What about your blood work? Having these changes in the spine you will have to concentrate on your blood parameters also.
6 people found this helpful
Submit FeedbackFeedback

Walking difficulty in foot bones pain, pain radiates from buttocks down to feet includes thighs knees calf muscles ankle bones and bones of feet.

Dr. C S Hiremath 90% (456 ratings)
BHMS, MD - Homeopathy
Homeopath, Dharwad
Walking difficulty in foot bones pain, pain radiates from buttocks down to feet includes thighs knees calf muscles an...
Dear, it may be sciatica pain due to the some problem in lumbar discs. It may be due to disc bulge/ injury/ fall etc. To treat such conditions need thorough history of complaints. Homeopathy has got complete cure for such conditions by constitutional treatment and holistic approach. Which considers your all complaints with the cause. It naturally cures by improving the damage occured at discs. I suggest you to take an appointment for consultation so that detail case can be discussed and rule out the cause and proceed further for treatment. You can consult me online privately. Thank you.
Submit FeedbackFeedback

Hi I am 29 years old 5 years back I met with a bike accident, recently I am getting lower back pain. I have undergone mri spine I have diagnosed with disc desiccation, schmorl's node, posterocentral protrusion at l4-l5 level causing thecal sac indentation, narrowing bilateral foramina abutting the external roots. A mild posterior bulge at l3-l4 level causing thecal sac indentation. The doctor suggested that daily exercise is needed I have a doubt can I regain my original spine in future, and how many days I need to continue with these exercise and could you please explain the severity of my condition.

Dr. Julie Mercy J David 93% (30886 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi I am 29 years old 5 years back I met with a bike accident, recently I am getting lower back pain. I have undergone...
A thorough physical examination reveals much about the patient's health and general fitness. The physical part of the exam includes a review of the patient's medical and family history. Often laboratory tests such as complete blood count and urinalysis are ordered. The physical exam may include: •palpation (exam by touch) determines spinal abnormalities, areas of tenderness, and muscle spasm. •range of motion measures the degree to which a patient can perform movement of flexion, extension, lateral bending, and spinal rotation. •a neurologic evaluation assesses the patient's symptoms including pain, numbness, paresthesias (e.g. Tingling), extremity sensation and motor function, muscle spasm, weakness, and bowel/bladder changes. Particular attention may be given to the extremities. Either a ct scan or mri study may be required if there is evidence of neurologic dysfunction. Physical therapy which teaches the patient to strengthen the paravertebral and abdominal muscles which lend support to the spine. General exercises which help build flexibility, increase range of motion and strength. A corset or a brace could be used to provide support; cervical collars may be used to alleviate pain by restricting movement. Hot or cold packs on the affected area, ultrasound and electric stimulation are some of the other treatments which are used. Management of acute symptoms rest and support- with acute joint symptoms, a lumbar corset may be helpful to provide rest to inflamed facet joints. When acute symptoms decrease, discontinue corset by gradually increasing the time without the corset. Often the most comfortable position is flexion, esp. If there are neurologic signs due to decrease in the foraminal space from joint swelling or osteophytes. Education of posture- head, neck and shoulders should be supported by the back rest of chair with a small pillow in the lumbar spine, the feet supported and the arm resting on arm rests or on a pillow in the lap. Modalities- hot or cold packs on the affected area, ultrasound and electric stimulation are some of the other treatments which are used to decrease pain and reduce muscle spasm. Relaxation- by soft tissue techniques. Teach self relaxation techniques, e.g like deep breathing exercises and physiological relaxation (laura mitchell method) and hydrotherapy. Traction- gentle intermittent joint distraction and gliding techniques may inhibit painful muscle responses and provide synovial fluid movement within the joint for healing. Gentle rom within the limits of pain. Management of subacute and chronic phase increase rom- free active exercises of lumbar spine. Pelvic tilting forward, backward in crook lying, quadriped, sitting and standing. Mobilization- restoration of intersegmental mobility by accessory pressure enables the patient to regain full functional painfree movement. Stretching exercises. Strengthening exercises. Posture correction. I am having a different body shape. My hips are wider than normal male structure which makes my body resemble with a woman's body structure. I want to decrease my hip width. Suggest me ways to deal with this problem. You can go for walking until 5-6 kms which will help you to get reduced with the hip width. It will remove the adipose tissues in the body. There is a bulged out skin from the hole of my hip which is very painful. Can you please help me? Are there any chance to fix facet joint pain from ayurveda. My right hand thumb bone has been dislocated. What should be done? You have to keep ice immediately to reduce the inflammation and you have to immobilize the joint by keeping a plaster. Consult near by orthopaedician to correct the dislocated bone. I have pain in back side of stomach. I have done ultrasound. It was diagnosed stone in gall bladder. What are treatments for removing stone from gall bladder. You can drink hot water and also general lukewarm water to flush out the stone. Apart from that you can take good fibre foods which will definitely help you to get removed from the current symptoms.
Submit FeedbackFeedback

I am 58 year male. Suffering from low back pain and neck pain and stiffness from last 5 6 years. Mri spin report shows" mild disc bulges at l4 l5" medicines give partial relief. Exercise told by Dr. is also not giving remarkable relief. Please advise and help. Regards o p dubey.

Dr. Rahul Rai 91% (2663 ratings)
MSPT (Master of Physical Therapy), Bachelor of physiotherapy
Physiotherapist, Gorakhpur
I am 58 year male. Suffering from low back pain and neck pain and stiffness from last 5 6 years. Mri spin report show...
Hi, In disc bulge, maintain posture is very imp in physiotherapy, apply tens, ultrasound, heat pack, use lumbar belt.
Submit FeedbackFeedback

Sir, I am 24 years old. I have back pain for 3 years. There is a temporary relief, but it's coming again. Mri has taken 2 times to treat it. L4 -l5 disc bulge is a problem for sciatica to understand the problem. What is a solution sciatica problem?

Dr. Julie Mercy J David 93% (30886 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Sir,
I am 24 years old. I have back pain for 3 years. There is a temporary relief, but it's coming again. Mri has tak...
Pain radiating along the sciatic nerve, which runs down one or both legs from the lower back. Swiss exercise ball the unstable surface that your swiss exercise ball provides can help awaken your deep core stability muscles. Your physiotherapist can advise you specific exercises. Your swiss exercise ball will help to: eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly enjoy a low impact aerobic workout posture supports poor sitting posture is a common cause of sciatica. To assist the support of your lower back many simple and effective products have been developed over time. These include: lumbar d-roll bassett frame kinesiology lumbar tape please ask your physiotherapist for their advice in what will help you most. Exercise sciatic nerve pain 1. Reclining pigeon posepigeon pose is a common yoga pose. It works to open the hips. There are multiple versions of this stretch. The first is a starting version known as the reclining pigeon pose. If you are just starting your treatment, you should try the reclining pose first. 1.While on your back, bring your right leg up to a right angle. Clasp both hands behind the thigh, locking your fingers. 2.Lift your left leg and place your right ankle on top of the left knee. 3.Hold the position for a moment. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve, causing pain. 4.Do the same exercise with the other leg. Once you can do the reclining version without pain, work with your physical therapist on the sitting and forward versions of pigeon pose. 2. Sitting pigeon pose 1.Sit on the floor with your legs stretched out straight in front of you. 2.Bend your right leg, putting your right ankle on top of the left knee. 3.Lean forward and allow your upper body to reach toward your thigh. 4.Hold for 15 to 30 seconds. This stretches the glutes and lower back. 5.Repeat on the other side. 3. Forward pigeon pose 1.Kneel on the floor on all fours. 2.Pick up your right leg and move it forward on the ground in front of your body. Your lower leg should be on the ground, horizontal to the body. Your right foot should be in front of your right knee while your right knee stays to the right. 3.Stretch the left leg out all the way behind you on the floor, with the top of the foot on the ground and toes pointing back. 4.Shift your body weight gradually from your arms to your legs so that your legs are supporting your weight. Sit up straight with your hands on either side of your legs. 5.Take a deep breath. While exhaling, lean your upper body forward over your front leg. Support your weight with your arms as much as possible. 6.Repeat on the other side. 4. Knee to opposite shoulder this simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. 1.Lie on your back with your legs extended and your feet flexed upward. 2.Bend your right leg and clasp your hands around the knee. 3.Gently pull your right leg across your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. 4.Push your knee so your leg returns to its starting position. 5.Repeat for a total of 3 reps, and then switch legs. 5. Sitting spinal stretch sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. 1.Sit on the ground with your legs extended straight out with your feet flexed upward. 2.Bend your right knee and place your foot flat on the floor on the outside of your opposite knee. 3.Place your left elbow on the outside of your right knee to help you gently turn your body toward the right. 4.Hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch this stretch can help ease pain and tightness in the hamstring caused by sciatica. 1.Place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. 2.Bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. 3.Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. 4.Hold for at least 30 seconds, and then repeat on the other side.
Submit FeedbackFeedback

I have done MRI on lumber spine and report says that disc degeneration with diffuse disc bulge indenting the thecal sac at L5-S1 level. please suggest me the treatment against this decease and what are the causes of this decease.

Ph.D. ( Russia), Post Graduate Diploma in Laser Medicine, M.M.S. ( Pune Univ), D. B. M. ( Pune Univ), B A M & S Bachelor of Ayurvedic Medicine and Surgery (BAMS)
Ayurveda, Pune
Causes are different in different people. Unless we do PVT chat I would not know cause in your case.
Submit FeedbackFeedback

My husband aged 29 is diagnosed with prolapsed intervertebral disc. Below is the extract from MRI REPORT: "Straightening of lumbar spine is seen. Visualized vertebral bodies appear normal in height, alignment and marrow signal intensity for age, with subtle focal fatty changes seen at places. Modic type II end plate changes with partial disc dessication changes in lower lumbar region manifesting as subtle loss of hyperintense signal on T2W images with mildly reduced intervertebral disc space at L5/S1 level. Broad based posterior and forminal disc bulge with posterocentral, right paramedian, foramina disc protrusion, annular tear is seen at L5/S1 level causing thecal sac indentation and mild focal canal stenosis with compression on bilateral exiting nerve roots (right > left). AP canal diameter is 10 mm. Now, the pain in his right leg is fine. But there is a continuous pinching in his lower back which pains while walking or sitting for more than 10 min. Can you tell me the best permanent treatments other than surgery as it has been 2 months he is resting at home. Though there is remarkable improvement but we want something permanent and more effective. Current medication involve neurobion forte, CCM, Lyrika 75 and warm heat belt therapy.

Dr. Bharani Kumar Dayanandam 88% (183 ratings)
MBBS, AFRCSI, FRCS - Trauma & Orthopedic
Orthopedist, Chennai
Permanent solution for leg pain would be surgical decompression For Back pain 1. Physiotherapist with back strengthening exercises 2. Caudal epidural injection might give temporary relief.
3 people found this helpful
Submit FeedbackFeedback

Hi, I had MRI report which shows impression: "MR images reveal degenerative changes affecting lumbar spine with medium size posterocentral disc herniation at L5-S1 level. Disc bulge-herniation at L4-5 level and disc bulges at L2-3 & L3-4 levels. Please suggest me the best treatment for this. I will be highly thankful.

Dr. Karuna Chawla 97% (69060 ratings)
BHMS
Homeopath, Noida
U regularly do back exercises that your orthopaedic suggested. U can start with Gels 30/6 times a day for 3 days. Ask for consultation with detailed information so that I can help you better.
Submit FeedbackFeedback