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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Report Says There Is Loss Of Lumbar Lordosis. Can This Problem Be Cured Without Surgery?

Hello Dr. my report says that there is a loss of lumbar lordosis. The L4-L5 disc is dessicated, slightly reduced in height and exhibits diffuse posterior disc bulge, intending the thecal sac and bilateral traversing L5 nerve roots.
Mild diffuse posterior annular bulge is noted at L5-S1 level without significant thecal sac or nerve root compression. Can this problem be cured without a surgery??
Tue, 23 Jul 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

The MRI findings in your description suggests that you have LUMBAR DISC DISEASE with NEURAL COMPRESSION.

I cannot assure you a complete cure with non-surgical management. But more than 80% of patients with lumbar disc disease experience pain relief by the following measures -

* avoid lifting heavy weights
* avoid forward bending activities
* Use a lumbosacral back support
* Intermittent pelvic traction to cause a regression of the protruded discs
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants.
* Ocassionally an EPIDURAL STEROID INJECTION of may help to provide pain relief.

Hope this information is helpful. Good day
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Report Says There Is Loss Of Lumbar Lordosis. Can This Problem Be Cured Without Surgery?

Hi, thanks for writing to HCM. The MRI findings in your description suggests that you have LUMBAR DISC DISEASE with NEURAL COMPRESSION. I cannot assure you a complete cure with non-surgical management. But more than 80% of patients with lumbar disc disease experience pain relief by the following measures - * avoid lifting heavy weights * avoid forward bending activities * Use a lumbosacral back support * Intermittent pelvic traction to cause a regression of the protruded discs * Maintain optimum body weight,if you are obese * Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided. * Judicious use of analgesics and muscle relaxants. * Ocassionally an EPIDURAL STEROID INJECTION of may help to provide pain relief. Hope this information is helpful. Good day