I've been dealing with some serious low back pain for the past eight months, and I'm really getting concerned. I'm 24 years old, 6 feet tall, and weigh 80 kg, and I'm experiencing pain that radiates into my legs, thighs, hips, and even affects my walking and standing. I already tried lots of allopathy medications, but I still haven't found any relief. An X-ray scan showed that there's a diffuse bulge at disc L5S1. It even hurts when I cough or sneeze. Can you suggest something that might actually help?

Dr Ranjith Darla

General Practitioner

• MBBS
• 3+ Yrs

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For a diffuse bulge disc L5-S1, consider the following diagnostic steps and treatment options:

Diagnostic Steps

1. MRI or CT scan: Confirm the diagnosis and assess the extent of the disc bulge. Treatment Options

2. Physical therapy: Strengthen back muscles, improve flexibility, and alleviate pain.

3. Pain management: Explore medication options, such as pain relievers, muscle relaxants, or oral steroids.

4. Epidural injections: Administer corticosteroids or pain relievers directly into the affected area.

5. Chiropractic care: Spinal manipulation and adjustments to relieve pressure on the affected disc.

6. Surgery: Consider discectomy, microdiscectomy, or spinal fusion surgery if conservative treatments fail.Lifestyle Modifications

7. Maintain a healthy weight: Reduce pressure on the spine.

8. Exercise regularly: Engage in low-impact exercises, such as yoga, swimming, or cycling.

9. Improve posture: Practice good posture to reduce strain on the back.

10. Lift properly: Use proper lifting techniques to avoid putting unnecessary strain on the back.

Answered 04/07/2025