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Doctor insights on: Treatment For Bulging Disc L4 L5

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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

Dr. Thomas Dowling
848 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


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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

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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

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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

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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

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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

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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

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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

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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

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I have pain in my arm, and am wondering if I need to get into the doctor. I have a bulging disc between my L4 and l5...Was off of work for almost 3 weeks with it. I am back to work now and was overcompensating so now I pulled something in my top left sho

C4/5 disc?: I presume you meant C4 and c5. The disc herniation at this site can cause shoulder pain and weakness. If you are having increasing pain, weakness and numbness, please see a neurosurgeon soon. If you are having trouble walking or balancing, I recommend urgent evaluation. ...Read more

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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

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I just found out that I have Disc degeneration and posterior bulging disc at the L4/L5. I have had a spinal fusion at the L5/S1. what does this mean?

I just found out that I have Disc degeneration and posterior bulging disc at the L4/L5. I have had a spinal fusion at the L5/S1. what does this mean?

Depends: It depends on why the MRI was ordered and what symptoms and signs exist on the examination. It could be incidental or it could explain alot - without having more history it's impossible to tell. However, given that you have had an MRI, and your physician ordered it, you should ask your health care provider to go over it with you for an assessment. ...Read more

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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

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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

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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

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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

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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

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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

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My wife (28 years) suffers from sciatica pain due to her buldge disc L4 & l5. from two years. How can this be treated?

My wife (28 years) suffers from sciatica pain due to her buldge disc L4 & l5. from two years. How can this be treated?

A few Options: Many people w/ disc bulge are misdiagnosed. Bulge at L4-5 may/may not be actual cause of pain. Many drs. Mistakenly correlate the 2 when other causes such as piriformis syndrome, QL contracture, cluneal nerve inflammation, etc. May be actual cause. Assuming it IS due to disc bulge-non-surgical options: Sweet caudal epidural (NON-steroid), osteopathic manipulation, may help. Get precise diagnosis first ...Read more

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Back disc L4 L5 compresed moderately to L5 nerveroot & L5 s1 mildly intending calsac s1 nerveroot. Doing PT. Can it cure? Once cured wil ths come agn?

Back disc L4 L5 compresed moderately to L5 nerveroot & L5 s1 mildly intending calsac s1 nerveroot. Doing PT. Can it cure? Once cured wil ths come agn?

Yes and no: Physical therapy does not "cure" the radiologic findings you are describing; but some people can come through therapy with much less pain and able to be much more active. And because the findings in the MRI are not dangerous, if anything nonoperative can be done to reduce your pain and improve your activity level that would essentially be a form of "cure." ...Read more

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What do you suggest if my wife having a age of 28 years and suffer from sciatica pain due to her buldge disc L4 & l5. from two years. Plz give me perfect solution?

What do you suggest if my wife having a age of 28 years and suffer from sciatica pain due to her buldge disc L4 & l5. from two years. Plz give me perfect solution?

Get a 2nd opinion fr: Neuromusculoskeletal medicine (NMM) specialists, or D.O.'s practicing in MD/ DC/ PA, who can offer you a 2nd opinion, evaluation & TREATMENT to address what is exacerbating your sciatica, and decompress your lower back's bulging discs at L4-L5, along with the SI joint, sacrum, and it's impact into your neck, shoulders, head. Give it a try! Nothing to lose. U may get relief quicker than u think! ...Read more

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I have recurring L4-L5 disc herniation. What is the best treatment? I've had too much PT which isn't much help.

I have recurring L4-L5 disc herniation. What is the best treatment? I've had too much PT which isn't much help.

Believe it or not: Aerobics, (running, jogging, working with a trainer), yoga, pilates and stretching classes. Speaking to a sports psychologist and learning that pain is controllable ...Read more

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L4-L5 2mm disc protrusion with annular tear. What is treatment?

Consult Neurosurgery: You will need to consult neurosurgery or interventional pain management to answer this wquestion. ...Read more

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MRI: L4-5 Left disc extrusion (base 15mm, depth 4mm), disc impinges on the traversing left L5 and contacts the exiting left L4 nerve. Treatment?

MRI: L4-5 Left disc extrusion (base 15mm, depth 4mm), disc impinges on the traversing left L5 and contacts the exiting left L4 nerve. Treatment?

It depends: 95% of the time Slip Disc resolves with rest, NSAID and proper Physical therapy in otherwise healthy young person. I do not know your age and other condition. If this was post traumatic after a fall, or severe exertion and symptoms are severe; Epidural injection, or oral High dose of Dexamethazone, is given initially to relieve the pressure. If radicular pain persists, consult spinal surgeon. ...Read more

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My recent MRI result is diffuse disc bulge ar l3l4 and L4 L5. ..Pls tell me the best treatment and I am having severe pain in back that goes to leg?

My recent MRI result is diffuse disc bulge ar l3l4 and L4 L5. ..Pls tell me the best treatment and I am having severe pain in back that goes to leg?

Bulging discs: Bulging, or herniated discs, typically resorb over time. Treatment varies based on the severity of pain and whether you have any neurologic deficit. Treatment can consist of physical therapy and medications or possibly epidural steroid injections or discectomy for very severe pain. ...Read more

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What is the treatment for having 2 thecal cyst at s2 (racepinephrine) n a disc bulge at l4/l5 with annular fissure centrally. No nerve root compression or narrowing?

What is the treatment for having 2 thecal cyst at s2 (racepinephrine) n a disc bulge at l4/l5 with annular fissure centrally. No nerve root compression or narrowing?

Not clear: Benign cysts around nerve roots, called tarlov cysts generally do not need treatment. Disc bulges and annular tears are not unusual in people in the 5th and 6th decades of life without symptoms. None of these dictate treatment. Symptoms should be evaluated by an appropriate health care professional. ...Read more

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What does Abutment of the L5 nerve root mean caused by disc bulge at L4-5 showed on my ct scan. What would the treatment be 4 this if any?

It means: That the disc is bulging out of its normal confines and touching the nerve root. It may or may not be causing symptoms, talk to your doc about whether your symptoms are referable to that nerve root. Treatment would be conservative in all likelihood. ...Read more

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Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?

Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?

See ortho spine doc: You may need reconstructive or supportive surgery to prevent nerve damage if you have more than one vertebral body affected by the osteoarthritis. If this is a congenital issue an ortho spine doctor would give you the best advice on how to proceed safely ...Read more

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I have severe stenosis at L4-L5 two bulging discs at L4-L5 & L-5-S-1, ddd. I have started noticing that area feels hot to the touch. Ideas?

Unusual: The presence of heat over the area is an unusual complaint, even in someone with severe stenosis. I would probably be seen and examined, in part to make sure you have not developed some form of infectious process somewhere; particularly if you have had any invasive spinal procedures such as an epidural steroid injection. ...Read more

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An broadbased disc bulge L4 l5 cause pain on left and interfer with digestive system?

An broadbased disc bulge L4 l5 cause pain on left and interfer with digestive system?

Disk bulgn: low back pain can interfere with digestion in the form of constipation. Also pain meds can cause constipation ...Read more

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Should I have artificial discs put in my back for annular tearing and bulging of l4/5 and l5/s1?

Should I have artificial discs put in my back for annular tearing and bulging of l4/5 and l5/s1?

Only you can decide: This needs to be an extensive conversation between yiu and the doctor recommending it. Spine surgery is no small thing and disc abnormalities happen to almost everyone. The question to ask is "what is the purpose of replacement? What is to be gained? " ...Read more

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My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?

My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?

Nothing: Research has shown that the findings on imaging studies do not correlate all the time with patient symptoms. If you have no problems then don't worry about it.

If you have back pain, it is more likely to be associated with muscle strain than the bulging disc.

Sacralization is common on of no real signficance. ...Read more

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Mri shows disc bulge at l4/l5. Will disc return to normal position with time n stretches? What caused it? Does it mean more danger of it herniating?

Mri shows disc bulge at l4/l5. Will disc return to normal position with time n stretches? What caused it? Does it mean more danger of it herniating?

Part of Aging Proces: Bulging discs are very common especially as we age. That same MRI probably also showed some loss of water content in the discs. Bulging discs are usually asymptomatic and don't go on to herniate. Bulging discs do not return to a non-bulging configuration. ...Read more