Doctor insights on:
What Is Treatment For Tumors On The L4 And L5 Vertebrae
I have recurring L4-L5 disc herniation. What is the best treatment? I've had too much PT which isn't much help.
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
L4-L5 Small central disc protrusion which effaces the thecal sac. What does that mean and what treatment options are there? I run and waitress.
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
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 moreSee 2 more doctor answers
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
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
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