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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Back Pain Caused By Disc Herniation And Protrusion Be Treated?

Hi, My brother is 27 and has had an MRI very recently. he was informed about herniation in L4-L5 and protrusion in L5-S1 disks. He was suffering from back pain and went to the doctor to find out this shocking result. How bad do you think it is for him to get it at such an early age? Does he need a surgery or would it be fine if he does exercises? Please help us as we are worried about him.
Tue, 25 Nov 2014
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Spine Surgeon,  's  Response
Disc protusions and bulges are very common findings. Even herniations are common and tend to increase and decrease over time. If he has leg pain, then he needs treatment for the disc issues. Otherwise all he needs is core strengthening exercises for the back. We treat patients not MRI's.
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Spine Surgeon,  Dr. Vedant Vaksha's  Response
Core strengthening exercises under physiotherapist supervision will treat his backain. Surgery for disc herniation is not required unless there is radicular pain or tingling, numbness or weakness into the legs.
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How Should Back Pain Caused By Disc Herniation And Protrusion Be Treated?

Disc protusions and bulges are very common findings. Even herniations are common and tend to increase and decrease over time. If he has leg pain, then he needs treatment for the disc issues. Otherwise all he needs is core strengthening exercises for the back. We treat patients not MRI s.