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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Lower Back Injury?

I have lower back injuy at L3-L4 mild los of height to disc with a diffuse bulge to disc flattening the anterior thecal sac. Mild facet joint arthropathy with moderate hypothermy of ligement flavum but there is no canal or foraminal narrowing. nerves unimpinged.

L!_L% ther is moderate loss of disc height and a focaldisc calcificationseen posteriorly. Moderate diffuse disc bulge flattening the anterial thecal sac. mild facet joint anthropathy no canal or foraminal narrowing.

L5-S1 there is mild diffuse disc buldge flattening the anterior thecal sac and no canal or foraminal narrowing.

I have been injured now 2 months i can work but with some pain and still getting spasms and have constant pressure and soreness still. What should i do now after physio and back to work duties seem not to have fixed the problem
Mon, 16 Feb 2015
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General & Family Physician 's  Response
Hi,
You are experiencing symptoms of radiculopathy. You need to take precautions like not lifting heavy weights, not bending forward too much or sitting for longer periods of >30 minutes continuously. You need to keep off-loading your weight for every 30 minutes by walking or standing for a period of 5 minutes. As the pain still persists, there is an option of epidural injection with a mix of steroids and anesthetics which, when given by a experienced spine specialist will go a long way in decreasing the pain. But you need to take all the precautions nevertheless. The last option would be surgery. Please discuss it with your doctor.
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How To Treat Lower Back Injury?

Hi, You are experiencing symptoms of radiculopathy. You need to take precautions like not lifting heavy weights, not bending forward too much or sitting for longer periods of 30 minutes continuously. You need to keep off-loading your weight for every 30 minutes by walking or standing for a period of 5 minutes. As the pain still persists, there is an option of epidural injection with a mix of steroids and anesthetics which, when given by a experienced spine specialist will go a long way in decreasing the pain. But you need to take all the precautions nevertheless. The last option would be surgery. Please discuss it with your doctor.