Suggest treatment for L4-5 Concentric disc bulg with posterior central annular tear
Patient: I am a 43yr old white male just diagnosed with L4-5 Concentric disc bulg with posterior central annular tear. Moderate facet arthropothy is present. Mild indentation of thecal sac and minimal bilateral foraminal narrowing is present.symptoms - burning middle of lumbar with movement, leg burning ,tingling, unstable, wobbly, fear of falling sensation, groin numbness, sitting on toilet is very painful, sleeping is almost impossible, frequent urination (prostate is ok though)...any suggestions? Can I get out of this w/o surgery? Thank you Doctor: Hello,  If you are asymptomatic or symptoms are mild, We can proceed with conservative measures like braces and analgesics. In severe cases, an intervention like steroid injection or surgical correction might be required.  Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Shinas Hussain, General & Family Physician