Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Pain From Lower Back To Right Leg. Diagnosed Mild Bisc Bulge With Annular Tear At L4 And L5, With Mild Crowding Of Nerve Roots. Advice
I have a mild broad based disc bulge with an annular tear at L4-L5 with mild crowding of the exiting nerve roots. I also have transitional segment with partial sacralization of L5. I also have a benign hemangioma present at L4. I have been to a chiropractor, have had 3 coritizone shots and have done physical therapy for a year now, but I have not noticed much improvement in the pain as I feel it everyday. It radiates from my lower back down my right leg. I do stretching exercises and use the elliptical. I am looking for advice as to what you would recommend that I do at this point. Any advice would be grately appreciated. Thanks.
Thu, 2 May 2013
Hello
I have gone through history provided by you. No treatment is indicated for benign hemangioma. For annular tear and disc bulge you definitely need treatment. Because of annular tear and compression of nerve roots you are likely to have persistent pain. My advice would be
(i) Have an examination by neurologist to assess for any deficit
(ii) To continue physiotherapy under guidance of a physiotherapist,
(iii) Have simple analgesics under care of your doctor. Personally I do not favor corticosteroids except for local injection.
(iv) If above fails, surgery can be considered.
Regards
Pratap
I have gone through history provided by you. No treatment is indicated for benign hemangioma. For annular tear and disc bulge you definitely need treatment. Because of annular tear and compression of nerve roots you are likely to have persistent pain. My advice would be
(i) Have an examination by neurologist to assess for any deficit
(ii) To continue physiotherapy under guidance of a physiotherapist,
(iii) Have simple analgesics under care of your doctor. Personally I do not favor corticosteroids except for local injection.
(iv) If above fails, surgery can be considered.
Regards
Pratap
I find this answer helpful
1 Doctor agrees with this answer
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Hemangioma
Loading Online Doctors....