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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Back Pain Around The L5-S1 Area?

I have a degenerated disc L5-S1 with some bulging on the left side. I have constant low middle back ache around the L5-S1 area, but the worse pain for the last 4 months or so has been in my hips and glute muscles. I swim 3 times a week at least 20 laps, core strengthening at least every other day (planks etc) and walk as often as I dare. I had facet joint injections 2 weeks ago that seem to have done nothing. I am getting increasingly deperate and worried, and feel that a spine fusion could be the answer. Could this be a possible solution?
Tue, 4 Nov 2014
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.
If you’re MRI says L 5 S 1 disc then Due to compression of this nerve root there can be tingling numbness in your leg and pain associated with it leading to walking difficulty.

Medication like methylcobalamine with neurotropic like pregabalin will reduce pain; you can take them consulting your treating doctor.

You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.

I will advise to check your vit B12 and vit D3 level.
MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better.
http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Take care.
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What Causes Lower Back Pain Around The L5-S1 Area?

Hello, I have studied your case. If you’re MRI says L 5 S 1 disc then Due to compression of this nerve root there can be tingling numbness in your leg and pain associated with it leading to walking difficulty. Medication like methylcobalamine with neurotropic like pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise to check your vit B12 and vit D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better. http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503 Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.