- male
- 45 Years
- 14/08/2025
I've been diagnosed with L4-L5 bulging and a minor S1 fracture, and they're saying it's spondylitis and recommending surgery. How serious is this? Should I be worried about long-term effects if I don't get the surgery? Are there other treatment options I could try first?
Answered by 1 Apollo Doctors
Spondylitis with L4-L5 bulging disc and S1 fracture may require surgery if conservative treatments (like physical therapy, medications, or spinal injections) fail. Surgery may help reduce long-term complications, but you should explore non-surgical options first.
Dr. Dhankecha Suggests...
Consult a Neurosurgeon
Answered 14/08/2025
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View allI had surgery last year for lower disc pain at L3 L4 L5 S1 and they removed the misplaced disc but the pain is still there especially on my left side Should I consider spine fusion surgery this time or are there other options I can try
It's understandable to consider spine fusion after a prior discectomy if pain persists. While fusion can be an option, it's crucial to explore other possibilities first, including physical therapy, medication management, and even alternative therapies like osteopathy or chiropractic care. A thorough evaluation by a spine specialist is essential to determine the root cause of your pain and develop the most appropriate treatment plan.
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My mom has a 17-14mm disc prolapse at L4-L5. Will this heal on its own with rest or does she need surgery? Also, is it okay to keep doing physiotherapy for this?
Discectomy is advised to the patient.
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My aunty has been diagnosed with lumbar lordosis and her MRI shows loss of normal lordosis in the lumbar spine. There's moderate lumbar spondylosis with disc degeneration, a posterior disc bulge at L4-L5 and L5-S1 causing narrowing, and a central/paracentral disc protrusion at L1-L2 compressing the thecal sac and mildly narrowing the neural foramina. The doctor recommended surgery but I'm worried is surgery the only option for a permanent fix? Are there other treatments that could help her condition without going under the knife?
While surgery may be considered for severe cases, it's not always the first or only option for lumbar lordosis and related issues like spondylosis and disc degeneration. Conservative treatments, including physical therapy, medication, and lifestyle modifications, can often provide significant relief and improve function.
Answered by 1 Apollo Doctors
Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.



