Suggest treatment for back pain
Patient: Hi I am 25 years old and suffering from a back pain from last 3years. It was not a constant pain but i used to get it once in 4-5 months . But from last 8-9 months my condition got very worse. Now my pain is constant 24X7. I cant walk or stand for more than 5-8 minutes. So finally i went for a MRI scan. My report says : A disc bulge at L3-L4 and disc herniation (protrusion) at L4-L5 and disc herniation (extrusion) at L5-S1 level causing significant compressive effect over the traversing and exiting nerve roots bilaterally. I consulted with few Orthopedic Doctors , they all r saying to go for a surgery. But one said to go for a physiotherapy. i consulted with one M.P.T (Neuro) he is saying , i can get rid of all this pain in just 3-4 months of regular therapy. I am completely blank what to do or not. Can any one please suggest me how i should proceed. Thanks Doctor: Most back pains get better with physiotherapy. Spine surgery is usually required only if you have significant pain going down the legs or symptoms like numbness or weakness in legs. If physiotherapy doesnt help, there are other options like injections. But you need ti be evaluated properly by a specialist spine surgeon to make the proper decision.