What is the best treatment for L4 L5 disc bulge?
What is the best treatment for L4 L5 disc bulge?
Typically, non-steroidal anti-inflammatory drugs (NSAIDs) are usually tried first. For more severe pain, opioids, tramadol, and/or corticosteroids may be used. Physical therapy. Exercise and physical therapy can be modified to specifically target pain stemming from L4-L5 and the lower back.
How do you fix a posterior disc bulge?
Nonsurgical treatment may include:
- Rest. One to 2 days of bed rest will usually help relieve back and leg pain.
- Nonsteroidal anti-inflammatory medications (NSAIDs). Medications such as ibuprofen or naproxen can help relieve pain.
- Physical therapy.
- Epidural steroid injection.
Can l4 l5 bulge without surgery?
Most people with a slipped disc in the lumbar region of their spine (lower back) are offered “conservative” treatment, meaning that the treatment does not involve surgery. This mainly involves exercise, relaxation and positioning, painkillers or local anesthetics, and manual and physical therapy.
How do you treat a bulging disc without surgery?
What does the diffuse disc bulge L4-L5 mean?
A posterolateral diffuse disc bulge points backward and laterally to the right or left spinal nerve root and may cause pain in an armor leg. What does the diffuse disc bulge L4-L5 or L5-S1 mean?
Where does the herniation of the posterolateral disc occur?
Posterolateral disc bulges occur towards the left or towards the right. The herniated portion of the disc does not generally place direct pressure upon the frontal surface of the thecal sac or spinal cord, but severe posterolateral bulges can certainly compress the frontal/side surface of either structure.
What does it mean when a disc bulges in your spine?
“Sometimes discs may bulge — move out of place — and put pressure on nerves that exit your spine. Symptoms are specific to the level of the bulge. An L4/5 bulging disc puts pressure on your L5 nerve — one of the most common levels where this condition occurs.
What kind of MRI shows narrowing of the L4-L5 area?
The sagittal MRI (Fig. 1) demonstrates disc desiccation with narrowing at L4-L5 and L5-S1. There is a component of contained disc protrusion at both levels. A high intensity zone (HIZ) is seen at L4-L5. The lateral x-ray (Fig. 2) demonstrates moderate narrowing at L4-L5 and L5-S1 without evidence of instability.