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Doctor insights on: What Is Treatment For Tumors On The L4 And L5 Vertebrae

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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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What is alternative conservative treatment instead of a rizotomy ? Cronic pain sufferer from degeneration in l4/l5

What is alternative conservative treatment instead of a rizotomy ? Cronic pain sufferer from degeneration in l4/l5

See below!: Massage therapy, physical therapy, accupuncture, and chiropracty as well as antiinflammatories and muscle relaxants all might help. Assuming those have failed, a tens unit (external electric stimulation) or an epidural steroid injection would be other options, as would a topically applied medication such as the Lidocaine patch. Good luck! ...Read more

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Best treatment for L4 L5 problem?

Best treatment for L4 L5 problem?

Depends on the: Problem. A number of disorders, e.g., spondylolisthesis, slipped disk, fracture, arthritis, hla b-27 related disease, spina bifida oculta, metastatic tumor etc can affect l4-5 region. Treatment would depend on the disease affecting a particular person. ...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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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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Is ozone a better treatment than micro discectomy for l4-l5 hernia with sciatica?

Is ozone a better treatment than micro discectomy for l4-l5 hernia with sciatica?

Neither: is first line treatment or standard of care for a herniated disk. Suggest core strengthening exercises first, then maybe consider epidural steroid injections and facet joint treatments if needed. After that surgery can be considered. Only time surgery is first line is if you are having weakness, loss of function of bowel or bladder or extreme pain not resolved with above treatments. ...Read more

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Mri shows I have herniated dics on l4-l5 and protrusion on l3-l4 and l5-s1. What is the treatment?

Mri shows I have herniated dics on l4-l5 and protrusion on l3-l4 and l5-s1. What is the treatment?

Depends on symptoms: If you have no symptoms, you may not require any treatment. With symptoms limited to pain, non-surgical treatments should be attempted first - physical therapy, massage, analgesics, etc. If those treatments fail, minimally invasive or surgical options can be considered. If you have severe symptoms such as inability to walk, bladder or bowel incontinence, surgery may be necessary. ...Read more

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I have annular bulge at l2-l3 and l4-l5 which flattens the thecal sac. Would this cause tingly feet bilaterally? What are treatment options?

I have annular bulge at l2-l3 and l4-l5 which flattens the thecal sac. Would this cause tingly feet bilaterally?  What are treatment options?

Yes: Flattening of the thecal sac indicates you have central cord compression at both of those levels. This will cause bilateral numbness and potentially weakness of your thighs (l2/3) and knee/ankle (l4/5). Numbness is a warning sign of nerve compression. Some disc disease is amenable to therapy, injections, core strengthening but if symptoms progress or persist i would advise further eval. ...Read more