Have back pain. MRI shows diffuse annular bulge indenting on thecal sac. Have flat foot. Need advice
Patient: hello dr, my son is 14 yrs old and was suffering from backpain for many years and his mri report says  1. diffuse annular bulges of l4-5, l5-s1 iv discs, indenting on thecal sac, l5&s1 perineural fat.2. diffuse annular bulge of l3-4 iv disc indenting on thecal sac and Schmorl's nodes in l2-3 vertebral end plates. Also, he is having flatfoot.my family physician suggests some exercise and ir fomentation at back lumbar region. needs correct advise Doctor: hallo my friend  i read your complete history  you need some neurotropics like pregabalin and calcium suppliment with vit D    take rest , take some analgesic , hot or cold fomentation  avoid lifting weights  sit with taking support to your back  continue   spine extension exersizes for flat foot there are specific exersizes  you can contact me for that  will need arch support also