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How to treat prolapsed intervertebral disc?
Neurological Disorders
Question #9387
279 days ago
2,644

How to treat prolapsed intervertebral disc? - #9387

Shahid

About 2 year i started to have low back pain. Then i consulted doctors and i was advised to do MRI of spine. The reports were i had L4L5 and L5S1 disc prolapse with vertebral canal stenosis and loss of lumbar lordosis. Then i started to take medications like nsaids, methylcobalamin, calcium, vit d3, pregablin and all. And also did exercises which were recommended. But no relief. I am 24×7 in pain discomfort. I can't stand for more than 10 min. I feel handicapped. As for radiation of pain it has now started to radiate towards thigh but with movement only. I feel like i have sacroilitis also as these days i do have morning stiffness in si joint region which gets relieved by nsaids.

Age: 25
Please help
100 INR (~1.18 USD)
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Doctors’ responses

Your MRI findings of L4-L5 and L5-S1 disc prolapse with canal stenosis and loss of lumbar curvature suggest significant structural issues that are likely pressing on nerves, causing your persistent pain and movement-induced thigh radiation. Despite medications and exercises, your lack of relief and added symptoms like morning SI joint stiffness point toward a possible overlapping condition like sacroiliitis or even an inflammatory spinal disorder like ankylosing spondylitis. It’s essential now to consult a spine specialist or rheumatologist for a more in-depth evaluation. Investigations like HLA-B27, CRP, and sacroiliac joint MRI may help identify if there’s an inflammatory component needing targeted treatment (e.g., biologics or DMARDs, not just painkillers). At this stage, you may benefit from a multidisciplinary approach — combining pain management, physical therapy tailored to spinal unloading (like McKenzie method or aquatic therapy), and possibly interventional treatments like epidural steroid injections or nerve blocks. In severe cases, minimally invasive spine surgery may be considered if conservative treatments continue to fail. Don't lose hope — many patients recover quality of life with the right guidance. Let me know if you’d like help preparing a second-opinion

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