Suggest treatment for L5-S1 degenerative disc disease
Patient: Hi i am 52 years old Egyptian suffering l5 s1 as per my MRI and doctor L5 s1 degenerative disc disease with left postero lateral disc extrusion. Relative disc height reduction. Los of the normal bright t2 signal of the disc material with subchondral degenerative fat like signal of the l5 inferior end plate along its postero lateral extrusion of the disc material seen flattening the left anterolateral aspect of the thecal sac with gross left sided performainal neural outlet compromise. No evidence spinal canal stenos is, fact arthropathy or abnormal Para vertebral soft tissues. kindly please assist me since my financial resource are very limited thanks and my best regards Doctor: Hi,  I have noted your MRI findings. Initial treatment consists of medications and physiotherapy. Medications such as pregabalin or gabapentin would help in relieving pain. Back extension exercises would strengthen the muscles. Surgery can be avoided in 90% of cases. Take care. Hope I have answered your question. Let me know if I can assist you further.  Regards, Dr. Sudhir Kumar, Neurologist