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Intermittent Lower back pain
My brother is facing intermittent Lower back pain since last 2 years. lumber spine MRI says 2 things 1 sacralisation of l5 vertebra. 2 L4-L5 intervertebral disc reveals diffuse posterior bulge with small posterocental and left paracentral protrusion indenting left l5 nerve root. He has taken 2 injections in lumber. undergoes stretching exercise daily. Please guide us on how to deal with it.
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The issues raised in MRI scan are answered below 1- Sacralisation of L5- nothing to worry about, It is just a part of normal variation. That is not causing any problem. 2- diffuse disc bulge will have to be considered along with symptoms and seen if it is the cause of the problem. If it is only back pain your brother is suffering from then this disc is not causing any issue what so ever. If he has leg pains specifically left sided leg pain and the pattern of pain is along the right lines then intervention/treatment will have to be considered. Injections will not help for back pain only in the long term. Work on improving the strength of back by core strengthening exercises and yoga. Stretching is good but add exercises along with it. Painkillers and hot fomentation as needed. Maintaining a good posture and using a good supporting mattress is useful as well. Hope this helps. Dr Vinu Raj Consultant Spine Surgeon MBBS MRCS FRCS(Trauma&Orth)
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All spine related issues in 28yrs of age are relates to posture and lack of proper strength in the core muscles. Along with stretching exercises I recommend your brother should start working on good postural alignment habits and strength training for muscles of lower back ..Only strength training is going find a solution in this case ...Consult a Physio near by he will guide properly how to practice safely ,instead you replicating by seeing in some website. All the best
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avoid forward bending ,cross leg sitting, sitting in one posture for long period,
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Exercises regularly.  Sending you the link of the same below https://play.google.com/store/apps/details?id=com.backpainrelieving.backpain Or you can search for " back pain relieving exercises by kavin khatri " on google playstore
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.