
Have Bulging Disc In L4. Recommended Physical Therapy. Safe?

Your question is a very good one and I will work on providing you with some information and recommendations.
With the type of back injury that you're dealing with I would recommend physical therapy as opposed to chiropractic therapy. While chiropractic therapy is very useful and effective for certain musculoskeletal problems I believe the physical therapy provides a therapeutic advantage in the situation that you're dealing with.
Overtime we hope that the inflammation that is causing the bulging of the disc in your back will slowly improved. This should lead to gradual improvement of the weakness you are experiencing in your leg.
Surgery is a consideration but this is always a last resort if other methods do not lead to symptomatic improvement. Sometimes we use medications such as steroids to help with some of the inflammation as well. I think physical therapy is the best first option for you.
Thanks again for sending your question. Please let me know if I can be of any additional assistance.
Dr. Galamaga


Classically we would expect the weakness to be on the side of the bulging disc. I do suppose that there may be some inflammation related to the disc injury that is affecting the opposite side. Time will tell - with physical therapy and perhaps medication I am optimistic that you will experience slow and steady symptomatic improvement.
Dr Galamaga

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