How do I manage my L4-L5 and L5-S1 disc protrusion?

Question

Hi doctor,

I have been suffering from spinal pain problem for the last five years. I was diagnosed with disc protrusion at L4-L5 and L5-S1 initially. However, my pain has spread to the middle and upper back as well. The latest MRI is attached. I have managed this pain with physiotherapy and alternative treatment, but it has worsened significantly after I delivered a child one year ago. I was in the armed forces, and the pain gradually started five years ago with running, exercise, flying, and long sitting.

The pain got aggravated four years ago when the first MRI was done. Physiotherapy was started, and running was stopped. Later, the pain started radiating down to my feet on the right side. An MRI was done three years ago. Medications previously taken for the same issue include Myoril, Gabapin NT, and Neurokind. Please advise on the further course of treatment.

Please help.

Thank you.

Answer 1

Hi,

I am delighted to welcome you at icliniq.com.

I read your query and understand your concern.

I have reviewed your reports (attachment removed to protect the patient’s identity). Disc protrusion is noted at L4-5 and L5-S1. Additionally, as stated in your case summary, there is sacroiliac joint dysfunction. While you experienced some relief from a PRP (platelet rich plasma) injection in the past, there is currently no relief. I recommend sending me the MRI (magnetic resonance imaging) films from your most recent scan. This will provide a visual representation of your disc prolapse.

Just to give you an overview, there are three options.

The first involves conservative measures like medication and physiotherapy, which you have already explored.
The second option is a selective nerve root block.
The third is surgery.

Please send me the MRI films, and I would suggest that you book a phone consultation with me. This will make it easier for you to understand the situation, and you can ask any questions you may have.

Hope I have solved your query.

I will be happy to help you further.

Thank you.