Got mri report, broad based dic bulge l4, l5. facet hypertrophy l4, l5 and l5, s1. what are treatment options? 3mths pain, no improvment w/pt or st shot

Back or leg pain: Your symptoms and MRI findings can help guide treatment. If your pain is mild then oral pain medications and physical therapy can be helpful. If pain is severe then spine injections or spine surgery might be helpful. Speak to your physician and ask for a referral to a spine surgeon

Complex answer: Best way to reduce back pain is to be as light as you can (optimal weight) be as fit as you can (high level of fitness with good core muscle strength) and don't smoke. The intermittent use of anti-inflammatory medications will help as well. If the epidural was not effective the injection can be placed in the facet joint or the disc. The pain generator needs to be found.

Dr Lundin agreed