- female
- 44 Years
- 14/08/2025
My mom is 44 and has had lower back and leg pain for 12-15 years but still manages her daily work. We've seen multiple doctors and one mentioned possible nerve compression or spondylolisthesis based on her X-ray, suggesting spine infusion surgery. Since it's minimally invasive but she's still young, I'm worried is surgery really necessary or are there other treatments we can try? We're planning an MRI but unsure about the next steps
Answered by 1 Apollo Doctors
MRI will confirm diagnosis. If symptoms affect daily life, minimally invasive decompression surgery may help. Physiotherapy and core strengthening are first steps.
Dr. Dhankecha Suggests...
Consult a Neurosurgeon
Answered 14/08/2025
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View allMy 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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I'm looking at my MRI report, and it's saying there's disc desiccation with a mild diffuse disc bulge and posterocentral disc herniation at the l5S1 level, which is causing some indentation on the thecal sac. I'm a bit concerned because I had surgery back in April 2017 for a tumor in my spinal cord. What does all of this mean? Should I be worried about this report in relation to my past surgery?
The MRI report indicates disc desiccation, mild diffuse disc bulge, and posterocentral disc herniation at the l5-S1 level, causing indentation on the thecal sac. The previous surgery in April 2017 was for a tumor in the spinal cord. For the disc issues mentioned in the MRI report, you can take pain relief medications like ibuprofen 400mg three times a day after meals. Additionally, you can use muscle relaxants like tizanidine 2mg at bedtime to help with muscle spasms. Physical therapy and gentle exercises can also be beneficial. If the pain persists, you may need to consult a spine specialist for further evaluation and management.
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