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Lower back pain problem
According to MRI
Diffuse disc bulge and prominent ligamenum flavum are visualize at L3-4,L4-5 indenting the thecal sac and compromise the spinal and bilateral nural canals
Small posterior left paracentral disc bulge at L1-2
Continue pain and can't stand more than 30 min or sitting
Please suggest it can be repaired by any therapy
Answers (5)
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This treatment is being suggested on bases of the information provided. However
I would like to examine & investigate the patient in detail.
Control Hypertension, Diabetes or any other 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 air.
--. Sleep on a hard bed with soft bedding.
--. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for back and hips.
--.(Take help of a physiotherapist).
--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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Disc bulges and ligamentum flavum hypertrophy are suggestive of degeneration. Meds can reduce the pain in short term. For longer relief you should rehabilitate your back muscles by correction of posture, toning back your muscles, local heat etc.
if problem persists for long then surgical option may be required
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Physio or surgery
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Most are ok in one to six month of bedrest
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Go for epidural injection which might give you some relief.
If no relief then surgical decompression is the answer.
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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.