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Intense pain in Leg and lower back
Hi,

I have aggravated pain in my lower back, hips, side thighs, back of lower legs from last 5 months. It has been worse now as i can't event stand /walk for more than 2-3 minutes.It started after a sudden jerk i got while coughing vigorously. My MRI report says:

"Lumbar curvature is straightened. L4-L5 disk is dehydrated. In L4-L5 disk diffuse disk bulge with central and bilateral paracentral disk protrusion ,with left paracentral extruded component indenting the thecal sac causing bilateral moderate neural foraminal narrowing and resulting in compressive impingement upon left L5 traversing nerve root. There is moderate canal stenosis at this level. "

My doctor prescribed me 3 weeks of physiotherapy. If it doesn't help he says surgery may be needed.

My age is only 24 so would it be a good option to undergo surgery ?
What is the risk involved? Recovery period?
Would surgery cure all the problems ie. lumbar curve straightened , disk bulge , canal stenosis?
Or if PT doesn't help much should i continue it for more period?
Would PT cure all the problems ie. lumbar curve straightened , disk bulge , canal stenosis?

Also i would like to know the causes of disk dehydration, lumbar curve straightening. I am a software engineer, my job requires me sitting almost 9-10 hrs/day and almost zero physical activity. would these be the cause.

Thanx
Akhilesh
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620923 tn?1452919248

  Hi and welcome to the Spinal Cord C/D forum.

The sitting u do can do damage, so see if u can get an ergo-dynamic  chair...
get up from time to time and walk around ur chair....

And make sure u go for walks etc when u r off work time....

Try the PT first b4 u consider surgery, ne surgery has risks, and u r talking about ur spine where all the nerves are....so try PT see how it goes and if surgery is an option look for the most experienced with this type,

Another thing is to look at ur posture....so in addition to changing ur chair, look at where ur comp monitor is, try to elevate it to eye level....see if that helps.

And last try a class of Feldenkras method....this helps with posture and center core position.
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Hi Akhilesh,

Sounds like your back muscles need strengthening from inactivity. Surgery should be your last resort. Try back strengthening exercises, stretching and perhaps spinal decompression. I have suffered from back pain for over 30 years and have been using the Back Bubble spinal decompression device to relieve my pain. It really works!

All the best...
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