Suggest treatment for pain after disc prolapse surgery
Patient: i got disc prollapse surgery l4 l5 in 2002 , Recently i am getting pain at l4 l5. based on recent MRI reports doctors told me some swelling is appearing at l4 l5 and he prescribed me tablets. tolflex 150 and doloneuron100 for 10 days but no result , still getting pain .. please sugest me i am 40years old Doctor: Hi there Thanks for your question at HCMIt is not uncommon for disc problem to recur again. It is advisable for to try 3 to 4 months of non-operative treatment in the form of physiotherapy, analgesic, injections when indicated , activity modification before advising surgery for pain that is manegeable. IF you have tried these and you are able to manage with your pain, there is no need of urgent surgery. On the other hand surgery is warranted if 1.Your daily activates of daily living are affected due to the pain. 2. Your pain is unresponsive to the non-operative measures over 3 to 4 months. 3. You have new onset weakness or sensory loss. 4. Severe stenosis or pressure on your nerves seen on your MRI which correlates with your pain pattern. 5. Associated with back pain which is getting worse over time.If you are working on a computer, there are several posture related adjustments, which can help you to fasten your recovery and help you maintain your lumbar spine strength over time .Ergonomics is the field of science which deals with such adjustments. I would suggest you to go through websites which deal with ergonomics for working on a computer and adopt those postures. These minor modifications can help you maintain good lumbar spine postures.Hope this helps All the best Regards,Dr.SBK