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L5 S-1 disc bulge
Hello, Im having a back pain from almost 2 weeks and itvwas radiating to thigs and legs and also I have neck pain which was radiating to shoulders.i took an MRI scan in that it showed L5 S-1 disc bulge.im attaching my reports pl help me.
Answers (7)
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Your MRI shows an L5–S1 diffuse disc bulge with a left foraminal disc protrusion and annular tear, causing mild spinal canal narrowing and left neural foraminal narrowing with contact of the left nerve roots. This can explain your low back pain radiating to the thigh/leg (sciatica). The cervical screening also shows mild multilevel disc bulges (C4/5 to C7/D1), which may contribute to your neck pain, but the MRI does not suggest severe cervical cord compression.
At present, since your symptoms have been present for only 2 weeks, the first line of treatment is usually conservative unless there is significant muscle weakness, bowel/bladder symptoms, or progressive neurological deficits.
Next Steps
Please consult an Orthopaedic Spine Surgeon for a detailed neurological examination. Most patients improve with a combination of medications, activity modification, and supervised physiotherapy over the next few weeks. Avoid prolonged sitting, forward bending, heavy lifting, and sudden twisting movements. If pain persists despite adequate treatment or if neurological symptoms worsen, additional interventions such as a selective nerve root block or surgery may be considered depending on your clinical findings.
If you would like a detailed review of your MRI and symptoms, you may book an online consultation with me through Practo. I can review your reports and guide you regarding the most appropriate treatment plan and whether surgery is necessary.
Health Tips
Seek urgent medical attention if you develop progressive weakness in the legs, numbness in the saddle area, or loss of bowel or bladder control, as these require immediate evaluation. Most lumbar disc bulges improve without surgery when managed appropriately.
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As you are younger, what kind of work do you do?do you have long hours of sitting or standing?
There is a disc bulge in lumber area .. is your pain radiating to lower limbs?
There are disc bugles mentioned in neck also …
We’ll start with back strengthening first along with nerve supplements and see for improvement for now
Next Steps
Please attach mri films .. no weight lifting ,physiotherapy with posture correction
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Proper posture and life style modification needed.
Back and neck muscle strengthening excersizes and medication can help .
Next Steps
Get examined by a spine surgeon for accurate treatment.
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
Please get personalised consultation done
Need to examine you physically, access your symptoms and then we will do a tailor made treatment, cannot treat the MRI report
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Medicine
Heat therapy
Physiotherapy
Precautions
Diclofenac gel
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
7 yrs exp
Ahmedabad
Proper treatment for atleast 4-6 week
Life style modifications
Medicine
Physiotherapy
Hot water bag massage
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Harshavardhan Chandane
Orthopedic Surgeon
21 yrs exp
Thane
You need physio some medications, proper back care. Use ergonomic chair. Avoid bending and lifting weights. If no improvement in a month you may need surgery.
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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.