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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diffuse Posterior Disc Bulge, Has Severe Back Pain, No Relief With Medicines. Any Other Treatment Required?

my mother have problem for diffuse posterior disc bulge l4-S1 l5-s1, she is 55 and she already consult doctor 1 weak ago and doctor prescribed some pain killers and muscle relaxed medicines and one belt for back pain . but still also she is suffering from terrible pain and it is not decreasing, she used to take rest all the time, do we need to do any other treatment or medicines along with this
Thu, 20 Dec 2012
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello.
Thanks for posting your query.

Your mother is suffuring from PIVD at l5/s1. Due to this Disc bulge pressure occurs on nerve roots & radiation of pain occurs in that dermatotome. Physiotherapy like intermittent lumbar traction , back exercise reduces pressure of disc bulge for some time & gives relief.

According to severty & patient demand surgery is a good option (Discectomy). Nowadays Microdisectomy done with an operating microscope. Exposure is very limited. Morbidity & hospitalisation is less.

So you can consult an orthopaedic or neurosurgeon for detailed examination and discuss about surgical options.

Meanwhile The following measures will help with the pain
• Lie on a hard bed.
• Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required ( dont repeat a dose before 6 hours) with food.
• Avoid forward bending.
• Correct posture while sitting
• Avoid prolonged sitting
• Avoid strenuous activity & lifting heavy weights.
• Apply diclofenac gel on the affected area. Warm compresses will also help.

Wishing her good health.
Regards.
Dr Saurabh Gupta.
drsaurabhmzpr@yahoo.co.in
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Diffuse Posterior Disc Bulge, Has Severe Back Pain, No Relief With Medicines. Any Other Treatment Required?

Hello. Thanks for posting your query. Your mother is suffuring from PIVD at l5/s1. Due to this Disc bulge pressure occurs on nerve roots & radiation of pain occurs in that dermatotome. Physiotherapy like intermittent lumbar traction , back exercise reduces pressure of disc bulge for some time & gives relief. According to severty & patient demand surgery is a good option (Discectomy). Nowadays Microdisectomy done with an operating microscope. Exposure is very limited. Morbidity & hospitalisation is less. So you can consult an orthopaedic or neurosurgeon for detailed examination and discuss about surgical options. Meanwhile The following measures will help with the pain • Lie on a hard bed. • Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required ( dont repeat a dose before 6 hours) with food. • Avoid forward bending. • Correct posture while sitting • Avoid prolonged sitting • Avoid strenuous activity & lifting heavy weights. • Apply diclofenac gel on the affected area. Warm compresses will also help. Wishing her good health. Regards. Dr Saurabh Gupta. drsaurabhmzpr@yahoo.co.in