Lower back pain due to disc protrusion and annular tear L5-S1

Patient : I had a MRI of my lower back Impression small central disc protrusion and annular tear at L5-S1 without thecal sac flattening or nerve root contact my pain is off and on. One day its at 7-8 and i cant do anything, others days im pain free. Im 30 yr. I have had this pain for over 6 or 7 yrs. I have had lots of PT, nothing works. Will my dr prescribe me any meds that will help with the pain? I take tramadol and flex. They do not work at all.
Doctor :    Apparently the herniated disc is compressing the root nerve, causing inflammation (neuritis) that is producing the pain n. In the younger patients, as you, lumbar radiculopathy may be a result of a disc herniation or an acute injury causing impingement of an exiting nerve. In the older patient, radiculopathy is often a result of spinal canal narrowing from bone (osteophyte) formation, decreased disc height and degenerative changes due to aging process. The conservative treatment strategy usually includes: a physical therapy program aimed to reduce pain and inflammation, and the use of anti-inflammatory medication (Aleve, Motrin), also a re-education of your habits and posture in order to improve your quality of life. You should be independent in a stretching and strengthening program and continue with these exercises under the periodic supervision of a physical therapist initially and then completely on your own. If after all these, you still continue having pain, I strongly recommend you an evaluation by a Spine specialist to explore if the surgical treatment is an option for you.  

Related Q&A

Q: I have pain in my shins after being on my feet for a while. The orthopedist thought it was sciatica, but my primary d...

Q: Is upper back pain normal with strept throat ?

Q: I have had a two level Spinal Fusion but the surgery has not worked or helped with my pain levels which have increase...

Q: Chronic lower back pain a right shoulder stuffiness

Q: I had an MRI for some back problems but it came back with this: "Small 1.3 cm lesion in the prepontine cistern, ...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon