I have degenerative spondylotic and disc changes in lumbar spine with evidence of Scmorl's nodes at multiple levels.. also there are wavy extradural indentations upon thecal sac by bulging lumbar intervertebral discs. causing back pain.
How serious it is? pl advise on remedies and precautions.
For the majority of people with degenerative spine disease, non-surgical treatment is the first option. This treatment may include medications (non-steroidals such as advil), sometimes steroids if there is swelling (edema), temperature therapy (hot or cold packs), stretching and controlled physical therapy, muslce relaxants, and so on, these are best prescribed by an experienced physician, each has its own indications.
In a minority of patients, surgery needs to be done urgently. This often is the case when the herniated disc is pressing on the spinal cord itself. Surgery is emergent so that permanent spinal cord injury does not occur. Another indication for urgent surgery is if there evidence that a nerve is being compressed on to the point that its function is impaired. Symptoms suggesting the need for urgent surgery includes muscle weakness, loss of bowel or bladder control, loss of sensation, particularly in the pelvis and severe and progressive pain.
In some patients, after conservative non-surgical therapy is tried for 4-6 weeks and the pain is still severe or if other symptoms/indications arise, surgery is the next step.
It would be best for you to discuss surgical and non-surgical options with your physician.
Thank you for using the forum, I hope you find this information useful, good luck.
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