
What Does L4-5 Posterocentral Disc Protrusion Impinging Upon The Ventral Aspect Thesac Mean?

L4-5 disc prolapse can cause persistent back pain. Its good that there is no nerve compression. The back pain is usually treated with medicine and physiotherapy. Initial few weeks avoid lifting heavy things, prolong sitting, long travels. Regular back muscle exercise and stretching would be helpful in long run.
Few stretching as below-
Lower Back Stretch #1
Lie down on the floor with your back flat to the floor.
Bend both legs and place your feet flat on the floor.
Extend both arms out to each side of your body.
Now slowly drop both knees to the floor to one side until you feel the stretch.
Hold the stretch for 30 seconds and repeat to the other side.
You can repeat this several times for an awesome stretch in your lower back.
Lower Back Stretch #2
Start by lying down on your back.
Bend your left knee and place your foot flat on the floor.
Lift your right leg and lift it up towards the ceiling and grab it with both hands behind the calf or thigh (whichever is more comfortable for you).
Gently pull your leg towards your chest until you feel the stretch.
For a deeper stretch, lift your head up off the floor lifting up towards your extended leg.
Once you feel the stretch in your lower back, hold for 30 seconds.
Return to starting position and repeat several times and then switch sides.
Lower Back Stretch #3
Start by sitting up straight on the floor (do not arch your back).
Extend your right leg straight out in front of you.
Bending your left leg, cross it over your right leg and place your foot flat on the floor.
Take your right elbow and place it on your left knee. Place your right hand out to the side for support.
Now gently twist your body to the left until you feel the stretch. Hold for 30 seconds and repeat on the other side.
I hope this would be helpful. Thanks.


Back pain usually get better between 6 weeks to 6 months and varies form patient to patient. This is self limiting problem and will definitely get better if you bring some changes in your routine and at least try not to lift very heavy things for time being. In very few cases if pain persist more than a year then we need to consider doing discography and subsequent disc replacement surgery.Thanks.

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