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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Back And Upper Leg, MRI Shows Moderate Sized Protrusion, Mild Diffuse Bulge Indenting Thecal Sac. Treatment Other Than Surgery?

i am 28 years old male,I have pain in my back and in upper leg .It increases at some postures (stretched leg). It is perfectly fine in some postures.I underwent a MRI ,Reports are 1. Moderate sized central - left paracentral protrusion at L5 - S1 level causing effacement of left traversing nerve root and partial effacement of right traversing nerve root. 2. Mild diffuse bulge at L4-5 level indenting thecal sac . Please guide me how serious is the position and any treatment other than surgery possible.what precautions i need to take.I will be a great help.
Thu, 13 Sep 2012
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello setiakhushi

Thanks for posting your query

You might be suffering from PIVD at L5-S1 level.

It causes pressure over nerve roots & it causes radiation of pain in your upper leg.

Physiotherapy like intermittent lumbar traction, back extension exercises, avoid forward bending reduces pressure over nerve by the disc bulge temporary.

So these might be other option to avoid or delay the surgery.

Regards.
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Pain In The Back And Upper Leg, MRI Shows Moderate Sized Protrusion, Mild Diffuse Bulge Indenting Thecal Sac. Treatment Other Than Surgery?

Hello setiakhushi Thanks for posting your query You might be suffering from PIVD at L5-S1 level. It causes pressure over nerve roots & it causes radiation of pain in your upper leg. Physiotherapy like intermittent lumbar traction, back extension exercises, avoid forward bending reduces pressure over nerve by the disc bulge temporary. So these might be other option to avoid or delay the surgery. Regards.