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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Left Hip With Bulging Discs At L4/5 S1?

Hello, I have had excruicating L) hip pain for the last few days. I havent done anything unusal to cause it. It hurts to press the area... but i just found out that i cannot lift my leg up when lying side ways without me being in tears just about. I am currently limping because of the pain and was thinking of going to the physio tomorrow. What do you think it may be. Also i have 2 buldging discs at L4/5 S1
Thu, 14 Mar 2019
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Physical Therapist or Physiotherapist 's  Response
Hello,

As you had the past history of the bulging disc at the L4-L5 and L5-S1 levels then this may be related to the same. We need to check the SLRT in a supine lying position.

Post which an MRI is guided if the past medical history was more than 12 months old. Either it can be a prolapse now or herniation but we need to check the MRI for the same.

If it's not entering the canal and not making any paresis to the limb then with physiotherapy treatment like - TENS therapy, Ultrasound therapy, lumbosacral traction therapy (automatic/manual) and exercise for the core, spinal extensor muscles, and lower limb should help.

You should make a rehabilitation plan for yourself and perform regular exercises at home.

Since these are recurrent injuries due to muscle weakness over a period of time due to posture or any physical activity you should never miss out doing exercises.

In my clinical practice of over 12 years, most cases seen with disc bulging are never turned up with pain due to the long term rehabilitation program.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What Causes Severe Pain In Left Hip With Bulging Discs At L4/5 S1?

Hello, As you had the past history of the bulging disc at the L4-L5 and L5-S1 levels then this may be related to the same. We need to check the SLRT in a supine lying position. Post which an MRI is guided if the past medical history was more than 12 months old. Either it can be a prolapse now or herniation but we need to check the MRI for the same. If it s not entering the canal and not making any paresis to the limb then with physiotherapy treatment like - TENS therapy, Ultrasound therapy, lumbosacral traction therapy (automatic/manual) and exercise for the core, spinal extensor muscles, and lower limb should help. You should make a rehabilitation plan for yourself and perform regular exercises at home. Since these are recurrent injuries due to muscle weakness over a period of time due to posture or any physical activity you should never miss out doing exercises. In my clinical practice of over 12 years, most cases seen with disc bulging are never turned up with pain due to the long term rehabilitation program. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist