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Central herniation of lumbar disc L5 S1
Following an acute episode of disabling back pain, I was diagnosed with a central disc bulge at L5 S1 level with no significant nerve compression per MRI. It's been 8 weeks and I'm able to walk now, the pain reduced by about 50 percent but spasms don't stop. I'm unable to walk more than 15 minutes or sit for more than 5 minutes due to spasms in lower as well mid back. I'm on dietary supplements and low level painkillers because the pain isn't too much but spasms have made it difficult for me to function normally. I wanted to know if it's normal to have spasms even after 8 weeks or does it mean that the situation is getting worse. I have no other disease. This disc herniation happened after some heavy lifting 8 weeks ago. Now I have no leg pain, only moderate pain in the center of lower back which is bearable after taking diclofenac. But spasms are very painful, though they get little better after lying down but tend to reoccur with activity. Thank you very much for your time & advice
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This treatment is being suggested on bases of the information provided. However
I would like to examine & investigate you in detail.
-Control Hypertension, Diabetes or metabolic disorder, if there is any.
-Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plus (Mankind) 1 tab OD x 10 days.
-(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Let the part not be exposed to cold.
--. Sleep on a hard bed with soft bedding.
--. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for the affected part-ie. Back and lower limbs.
--.(Take help of physiotherapist or you can visit my YouTube channel Dr. N. C. Gupta and watch 'Me & My Yoga' and 'Yoga Simplified'.
--Do not ignore, let it not become beginning of a major problem.
--Do ask for a detailed treatment plan.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
--Wish you a quick recovery & good health.
--I hope, I have solved your problem to your satisfaction.
Dr N C Gupta MS (ortho)
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Dr. Pranav Mahajan
Orthopedic surgeon
15 yrs exp
Indore
The recurrent pain and spasm in lower back region may he associated with some weakness in ligaments around the spinal cord..
You should use a lumbosacral belt for support.
Next Steps
You can take muscle relaxant tablet for relieving the pain.. Start physiotherapy including Local US, SWD.. If the pain persists, you may require local steroid injection or nerve root block..
Health Tips
Avoid heavy work, avoid sitting down, avoid Indian toilet..
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.