A member asked:

My brother (18 y) is suffering from lower back pain radiating to right leg. his lumbar spine mri report concludes minor disc bulge at l4-l5 without any significant spinal canal narrowing in lumbar spine. kindly guide about the report and what to do?

3 doctors weighed in across 2 answers
Dr. Philip Schwarzman answered

Specializes in Emergency Medicine

Sciatica: He has symptoms of sciatica which is an irritation/inflammation of the nerve going down the leg. The minor disc bulge may or may not be related but there is absolutely no need for surgery. This will resolve with time. He can use over the counter anti-inflammatory meds (ibuprofen ) for symptomatic relief.

Answered 12/20/2020

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Dr. Bennett Machanic answered

Specializes in Neurology

? Peripheral : MRI does not explain the sciatica and may not fully explain back pain. Maybe there is sacroiliac dysfunction or piriformis syndrome? Regardless, get physical therapy

Answered 12/20/2020

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