I just got my MRI report showing lumbar spondylosis with an angular tear and disk protrusions at L3-L4, L4-L5, and L5-S1 levels. It's causing spinal canal narrowing, stenosis, and severe compression on the nerve roots with impingement at L4-L5. The doctor is recommending surgery, but I'm only 25 and unmarried is surgery really necessary at this stage? Are there other treatment options I can try first?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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At 25, try conservative treatments first‚Äîphysio, traction, and epidurals; surgery only if severe nerve deficit or no improvement.

Dr. Dhankecha Suggests...

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Answered 14/08/2025

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My MRI shows disc desiccation and a large posterocentral disc protrusion at L4-L5 compressing nerve roots and effacing the thecal sac with mild facetal arthropathy. Does this require surgery or can it be managed with medication? Also noticed focal hemangiomas in D10 and D12 vertebrae should I be concerned about those? The rest seems normal but I'm worried about the compression

Disc protrusion with nerve compression may need surgery if symptoms are severe‚Äîhemangiomas are usually harmless unless symptomatic.

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I've had sciatica pain in my right leg for 3 months now and my MRI shows a 3.5 mm L5S1 disc bulge. Will I need surgery to fix this permanently or are there other options? How long does it usually take to recover from this kind of issue?

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I have symptomatic Tarlov cysts at S1-S2 measuring 2.8cm x 1.8cm what's the best way to treat them? Which surgery procedure works best for relieving symptoms from these cysts?

excision of cysts are advised,surgery opinion at apollo hospital is also advised.

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