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Posteriocentral Disc extrusion at l4-l5
Hi, I have been suffering from low back pain from the past 1.5months. Consulted a few doctors in March and am took rest but the pain didn't subside. Went for an MRI and report says, "Focal Posteriocentral Disc extrusion at L4-L5 is compressing the Thecal sac and indenting both L5 traversing nerve roots". I don't have any pain down the legs and am able to sit and walk for 40mins with out any pain, post which discomfort starts in the lower back and I have to lie down. No issue any where with the legs, toes, ankles and heels. Can walk properly. Shown the MRI to a doctor, got to know that the extrusion is much and should go for a surgery. Any non-surgical treatments to come back to normal.
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Not all patients of pain in the back need operation. Most of them can be managed without surgery. 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 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. --. 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 and knees and ankles and feet. --.(Take help of a  physiotherkapist). --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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Yes looking at your MRI scan you need surgery. However clinical symptoms dictates what to be done next. If conservative measures fail you need surgery
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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.