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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Disc Bulge

L3-4: Mild broad-based disk bulge there is mild ligamentum redundancy and facet arthropathy. Mild spinal canal stenosis. Mild right and left foraminal narrowing.. L4-5: Broad-based disk bulge more pronounced left paracentral . Mild right and moderate left foraminal narrowing. Mild bilateral facet arthropathy and ligamentum flavum redundancy. Mild spinal canal stenosis. L5-S1: 6-mm right paracentral disk extrusion with superimposed broad-based disk bulge. The disk extrusion is more prominent than on the prior study. There is deformity of the anterior right aspect of thecal sac with compression of the nerve root sleeve. Mild right and left foraminal narrowing. Am I a surgery candidate?
Tue, 30 Sep 2014
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Orthopaedic Surgeon,  's  Response
Hello,Thanks for your query.
After going through your query I came to know that you are probably suffering from lumbar disc prolapse mainly L5-S1.
It is already confirmed by MRI scan.
There are two treatment options.
First option is rest in position of relief(generally lateral position with both knee 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 . This method needs patience as it take longer treatment times sometimes up to 6 months.
Second option is go for surgical operation(Discectomy).
In my opinion 1st trial should be given to conservative (rest) treatment.
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.
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Suggest Treatment For 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 mainly L5-S1. It is already confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both knee 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 . This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). In my opinion 1st trial should be given to conservative (rest) treatment. 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.