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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Lower Back Pain. MRI Reveals S5 Disc Bulge. How To Treat This?

Hi,
My name is Syed I have been suffering from lower back pain for the last 3 years. I did the MRI and doctor found there is a disc s5 bulged inside but not yet pushed spinal cord. However, since then I have been suffering chronic back pain. I have been through many doctors and treatments but it is still the same, I can't sit for a long time. please I am expecting a nice feedback from you.

with regards
syed
Tue, 26 Nov 2013
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General & Family Physician 's  Response
Hi, Thanks for using HCM

Disc bulging is a common cause for persistent lower back pain. Most of the cases can be managed by non surgical approach. surgical treatment required in only advanced cases.
As your pain is not controlled by simple
Epidural steroid injections "may result in some improvement in radicular lumbosacral pain when assessed between 2 and 6 weeks following the injection,
Physiotherapy helps in muscle strengthening exercise.

These are few measures to reduce your pain:
Try not to sit still for long periods of time.
Avoid lifting heavy objects.
Remember that movements such as bending and twisting (especially at the same time) can increase pressure on your damaged disc.
Work on increasing your abdominal strength. Strong stomach muscles help to support the back. People who work hard on their abdominal muscles probably have much less recurrence of back pain over the long term, but only if they keep doing the exercises.
Pay attention to posture while sitting, standing and walking.
Flexibility exercises, performed regularly, can improve mobility and help reduce muscle tension and back pain.
Include a gentle program of back-strengthening exercises.

Hope this helps you.

Regards
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Chronic Lower Back Pain. MRI Reveals S5 Disc Bulge. How To Treat This?

Hi, Thanks for using HCM Disc bulging is a common cause for persistent lower back pain. Most of the cases can be managed by non surgical approach. surgical treatment required in only advanced cases. As your pain is not controlled by simple Epidural steroid injections may result in some improvement in radicular lumbosacral pain when assessed between 2 and 6 weeks following the injection, Physiotherapy helps in muscle strengthening exercise. These are few measures to reduce your pain: Try not to sit still for long periods of time. Avoid lifting heavy objects. Remember that movements such as bending and twisting (especially at the same time) can increase pressure on your damaged disc. Work on increasing your abdominal strength. Strong stomach muscles help to support the back. People who work hard on their abdominal muscles probably have much less recurrence of back pain over the long term, but only if they keep doing the exercises. Pay attention to posture while sitting, standing and walking. Flexibility exercises, performed regularly, can improve mobility and help reduce muscle tension and back pain. Include a gentle program of back-strengthening exercises. Hope this helps you. Regards