apollo
  • male
  • 50 Years
  • 14/08/2025

My dad has been diagnosed with a disc problem in his spine and the doctor said he might need surgery and complete bed rest. I need a medical certificate for his condition to apply for my job transfer how do I go about getting this from a doctor?

Doctor 1

Answered by 1 Apollo Doctors

U try from orthopaedic doctor

Dr. Kamran Suggests...

Consult a Neurosurgeon

Answered 14/08/2025

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My dad's MRI shows a diffuse bulge in L23 disc with right paracentral protrusion pressing on the right L3 nerve root, plus a diffuse bulge at L34 causing mild narrowing of the L3 neural foramina. He also has mild generalized arthropathy. He's dealing with constant back pain and leg pain is surgery the only option or can meds help manage this?

Patient is advised for neurosurgery opinion.

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My MRI report shows diffuse disc bulge at L4-L5 and L5-S1 with foraminal protrusion, annular tears, and nerve compression. The canal is narrowed to 9.4mm at L5-S1. Can this be managed with physiotherapy and exercise, or is surgery necessary? I'm worried about the nerve compression and whether conservative treatment would be enough.

It's understandable to be concerned about the nerve compression and whether physiotherapy and exercise are enough for your L4-L5 and L5-S1 disc bulges, especially with the narrowed canal at L5-S1. While physiotherapy is often the first line of treatment, surgical intervention might be necessary depending on the severity of your symptoms and the effectiveness of conservative approaches

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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.