Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
I had an ct-scan done on my back.findinds are L3/4: mild disc bulge w/o stenosis,L4/5: Diffuse annular disc bulge causing mild bilateral neural foraminal stenosis.what are my best options for treatment?My p.c.p. has me trying physical therapy and tramadol 50mg 2xaday,but the pain hasn't gotten any better.thanks
Hello,Thanks for your query.After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It is already confirmed by MRI scan.There are two treatment options I think method of rest analgesic is best as you have only mild stenosis. First option is rest in position of relief(generally lateral position with both hip and knee slightly bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeperazole before meals prevent acidity caused by analgesics .Second option is go for surgical operation(Discectomy). You can discuss with your treating Doctor about it.I do hope that you have found something helpful and I will be glad to answer any further query. Take care.
I find this answer helpful
You found this answer helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Suggest Treatment For Back Pain Due To Disc Bulge
Hello,Thanks for your query.After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It is already confirmed by MRI scan.There are two treatment options I think method of rest analgesic is best as you have only mild stenosis. First option is rest in position of relief(generally lateral position with both hip and knee slightly bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeperazole before meals prevent acidity caused by analgesics .Second option is go for surgical operation(Discectomy). You can discuss with your treating Doctor about it.I do hope that you have found something helpful and I will be glad to answer any further query. Take care.