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.
Apparently the herniated disc is compressing the root nerve, causing inflammation (neuritis) that is producing the painn. 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.
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