Top
20
Doctor insights on: Treatment For Bulging Disc L4 L5

Share
1

1
Awful low back pain. Gets difficult to walk, sit, and stand. 1 week. H/o scoliosis, bulging disc l4-l5. What's causing it? Why is it so debilitating?

Awful low back pain. Gets difficult to walk, sit, and stand. 1 week. H/o scoliosis, bulging disc l4-l5. What's causing it? Why is it so debilitating?

Acute lumbar Syndrom: Most likely you had an acute lumbar syndrome characterized by muscle spasm. The this really depends on whether it be the bulging disc or something else is causing. Usually the rest can help. If you are still in such pain, please see your doctor as soon as possible. Read more

See 1 more doctor answer
Dr. Thomas Dowling
842 Doctors shared insights

Bulging Disk (Definition)

Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more


2

2
I have herniated disc and bulging disc L4 L5 L5 s1 I had a snrb done and nothing is working does this mean surgery? I have trouble walking too

I have herniated disc and bulging disc L4 L5 L5 s1 I had a snrb done and nothing is working does this mean surgery? I have trouble walking too

Please see below: Herniated disc can be a generic term and not necessarily symptomatic unless it causes nerve root compression. In this case its most important to be able to correlate your symptoms with the specific nerve root impingement. It may be that the symptomatic nerve root has not been injected yet. Even if you don't respond to an epidural, a discectomy that can be done minimally invasively can help you. Read more

See 2 more doctor answers
3

3
F 43 back pain for many yrs recent CT scan shows serious bulging disc L4 L5.dad die from wt multi myloma. What are the chance having bone cancer?

Reassuring: Your MRI is an excellent test to reassure you that there is nothing seriously wrong, like cancer. Multiple Myeloma is a cancer that affects older adults and it is not known to run in families. Your bulging disc does not usually need surgery. You should do well with rehabilitation for your weakness and pain. An EMG test (see a Physiatrist for this) may guide your care and progress. Read more

4

4
Slight disc bulge at l4/l5. Treatment needed? Will traction make disc go back in? Or just back exercises will do?

Slight disc bulge at l4/l5. Treatment needed? Will traction make disc go back in? Or just back exercises will do?

Integrative care: A herniated disc can cause back pain as well as foot pain by physically pressing on the nerves that travel to the foot and by irritating them through the extrusion of pro-inflammatory disc materials. Physical therapy and other conservative measures, including medication management, are considered first line treatment. If these fail, your physician may recommend epidural steroid injections. Read more

See 2 more doctor answers
6

6
I have bulging disc at l4/l5 (based on mri) and pain in back and left leg. What can I do to put it back, to fix it and what shouldn't do? Thank you!

Wait a few days: Oftentimes, such pain goes away on its own after several days to several weeks. Studies show that those who have surgery on average are no better off after two years than those who don't.. If its unbearable or worsening, then see a doctor. Physical therapy can help in the short term, but best to just take it easy and don't lie down more than for sleeping, as it can make it worse. Read more

See 1 more doctor answer
7

7
Is it really rare for l5-s1 bulging disc / minor herniation to slip back to its place compared to l4-l5?

First, discs don't: "Slip" back into place but the majority resolve just fine over time 90% without any surgery. If one were to do a follow up MRI from the first one over a 6 month period, 60+% chance of noting the disc resorted or shrink in size. Also, disc bulges are normal findings on imaging studies of the spine and even significant disc herniations can get better without surgery. Read more

See 1 more doctor answer
8

8
I have back pains with a bulging disc and pinched nerve in my L4 L5 disc and the neurosurgeon recommended amytriptlene?

1possibility: It is very common to have a bulging disc. The nerve symptoms are usually related to inflammation. The first step in treatment is usually anti- inflammatories and physical therapy to decrease the mechanical traits that are putting pressure on the disc and strengthen your core. When these measures do not completely work, a medication to help with netve pain is often added. Amytrip. Is one of those. Read more

See 2 more doctor answers
9

9
Can someone explain the effect extension has on a moderate bulging disc w/ mod degeneration at l4-5 and l5-s1?

Can someone explain the effect extension has on a moderate bulging disc w/ mod degeneration at l4-5 and l5-s1?

Complicated...but: There have been lots of studies that show mckenzie exercises help reduce pain but have no (or negligible) effect on bulging discs. They do not reduce recurrences of back pain and little functional benefit. But, I still recommend them for certain patients. See a spine specialist! Read more

See 1 more doctor answer
10

10
I have been diagnosed with bulging disc in L4 and herniated disc in l5. I also suffer from utis at least every other month...What should I do?

UTIs not related: First, check with a urologist on UTI & frequency as not related to back issues. In terms of a disc bulge, they are normal findings. Even herniated discs can occur in asymptomatic people. For back health, you need to exercise regularly, particularly core exercise & cardiovascular regimens. Watch your weight & don't smoke. Make sure you have good vitamin d and calcium intake as well. Read more

13

13
I have l4-l5 bulging disc. My cat puke on my bed. Sudden horrible low back pain, changing sheets. Am I feeling the disc? What could it be?

I have l4-l5 bulging disc. My cat puke on my bed. Sudden horrible low back pain, changing sheets. Am I feeling the disc? What could it be?

Spine Injury: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist. Read more

See 1 more doctor answer
14

14
I have a fusion at l4-l5 with instramentation. An MRI in 2010 confirmed I had a bulging disc at s1 where I have pain. A new MRI & cat scan was ordere?

I have a fusion at l4-l5 with instramentation. An MRI in 2010 confirmed I had a bulging disc at s1 where I have pain. A new MRI & cat scan was ordere?

Consult your Spine: Surgeon. It is a common to have increased stress at the spinal segment above and below a fusion, with resultant acceleration of degeneration of these segments. However because you see these on xray/mri doesn't mean it is causing any symptoms. A well-trained spine specialist in your area will help you identify the pain generator, which might have nothing to do with the bulging disc you described. Read more

15

15
Awful low back pain. Scoliosis. L4-l5 bulging disc. 1 year last time pain. Hurts to walk, sit, do anything. Radiates to thighs. What's causing this?

Lumbar Muscle Spasm: If you have a bulging disc at l-4/l-5 probably irritated a nerve by twisting, bending, lifting, etc. Now have spasm compressing the nerves. Read more

See 1 more doctor answer
16

16
My MRI states that I have 2 bulging disc at L3-4 and L5-S1 and moderate spinal stenosis at L4-5 narrowing the thecal sac to 8.7 mm. What does it mean?

My MRI states that I have 2 bulging disc at L3-4 and L5-S1 and moderate spinal stenosis at L4-5 narrowing the thecal sac to 8.7 mm. What does it mean?

Non-specific: 24y female has reported unilateral sciatica 4 weeks post-delivery & MRI shows "spinal canal stenosis" L-4/5 & "disc bulges" lumbar regions. MRI report does not explain symptoms; disc bulges oft seen in asymptomatic people. More likely birthing injured pelvic sacroiliac joint, now hyper mobile & impinging presacral plexus. Was excessive trendelenberg posture forced while had epidural anesthesia? Read more

18

18
6mm herniated disc, L4-L5. Lower back pain and now into hip. Is steroid normal initial treatment. What's best, very painful at times.?

6mm herniated disc, L4-L5. Lower back pain and now into hip. Is steroid normal initial treatment. What's best, very painful at times.?

Therapy Usually fist: If the herniation is posterolateral, then epidural or foraminal steroid injection (s) is a possible answer. But your symptoms suggest that the herniation is more central. In case of lateral herniation, the pain would go down to the top of your thigh and your knee (L4 nerve root caught at L4-5). So I think you should try low back strengthening, traction, or a McKenzie certified therapist first! Read more

19

19
What is the best way to get nutrition to allow body to heal spinal disc? L4 - L5 bulge, not arthiritis nutrition, heat? New techniques? Has va insurance

What is the best way to get nutrition to allow body to heal spinal disc? L4 - L5 bulge, not arthiritis nutrition, heat? New techniques? Has va insurance

Physical Exercise: Tai chi, yoga for low back pain, Osteopathic manipulation, acupuncture, and lots of walking may work to help alleviate your symptoms. Here is an explanation of osteopathic medicine: http://www. Osteopathic. Org/osteopathic-health/about-dos/about-osteopathic-medicine/Pages/default. Aspx Read more

See 1 more doctor answer
20

20
65 yr fem, herniated disc of lumbar MRI show mild disc bulge from L1-L2 to L4-L5, slight degen. Grade 1 retrolisthesis. Had 1 month therapy. Osteoporosis. I have severe back and left side pain. What next? Acupuncture? Pain mngmt? Shot in back?

65 yr fem, herniated disc of lumbar MRI show mild disc bulge from L1-L2 to L4-L5, slight degen. Grade 1 retrolisthesis. Had 1 month therapy. Osteoporosis. I have severe back and left side pain. What next? Acupuncture? Pain mngmt? Shot in back?

Pain: First question - were any of these MRI findings believed to be the cause of the back and left side pain? Has an orthopedic surgeon been consulted? If not, recommend that. Depending on his/her findings - there may be a number of treatment options. Acupuncture won't fix the actual intervertebral disc problems but it can often reduce inflammation in the surrounding area & improve range of motion, Read more

See 1 more doctor answer