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L4-L5 disc bulge with mild Central canal
Hello Doctor,
I am having back pain which is spread till the knee of my left leg. I have done an MRI and the report says disc dessication and mild Central canal stenosis. At L4-L5 level there is a disc bulge which is pressing the nerves and therefore I am having back pain. If I stand or walk continuously for around 10 mins. I get a severe pain.
Can you please suggest how can this be treated.
Thank you.
Answers (2)
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This treatment is being suggested on bases of the information provided. However
I would like to examine & investigate you in detail.
-Control Hypertension, Diabetes or metabolic disorder, if there is any.
-Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plgus (Mankind) 1 tab OD x 10 days.
-(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Let the part not be exposed to cold.
--. Sleep on a hard bed with soft bedding.
--. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for the affected part-ie. Back and lower limbs.
--.(Take help of physiotherapist or you can visit my you tube channel
drncgupta. Yoga Simplified and
me and my yoga
--Do not ignore, let it not become beginning of a major problem.
--Do ask for a detailed treatment plan.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
--Wish you a quick recovery & good health.
--I hope, I have solved your problem to your satisfaction.
Dr N C Gupta MS (ortho)
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Dr. Pranav Mahajan
Orthopedic surgeon
15 yrs exp
Indore
Since there is disc prolapse and you also have difficulty in walking due to the same issue, the best way to treat it will be by surgical by undergoing decompression and discectomy by open or endoscopic spine surgery..
Next Steps
You can attempt by starting hot fomentation, take analgesic and muscle relaxant tablet, apply analgesic ointment locally, apply Lumbosacral belt for support.. Take complete bed rest, avoid heavy work, avoid sitting down , avoid Indian toilet...
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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.