What should be done for a herniated disc at the L4-L5 vertebral level?

Jun 24, 2024 Source: Cainiu Health
Disease description:

My mother, who has suffered from chronic low back pain, seems to have worsened in recent days. She was diagnosed with a herniated disc at the fourth and fifth lumbar vertebrae. What should be done now?

Doctor's answer (1)
Dr. Xu Shuai
For the condition of lumbar disc herniation at the L4-L5 level, the following management options are recommended: 1. Bed rest: During an acute episode, bed rest for 3 to 4 weeks is recommended to reduce pressure on the intervertebral disc and alleviate compression of surrounding nerve tissues. 2. Traction therapy: Traction can be used to relieve pressure on the disc and reduce nerve compression, thereby improving localized pain symptoms. 3. Massage therapy: Under the guidance of a qualified physician, massage may help relieve muscle tension and reduce nerve compression. 4. Medication: Under a physician's supervision, non-steroidal anti-inflammatory drugs (NSAIDs), such as celecoxib capsules or loxoprofen sodium tablets, can be taken to alleviate pain. If symptoms persist or worsen, timely medical consultation is advised for targeted treatment based on a physician's recommendations. Additionally, maintaining good posture and lifestyle habits, and avoiding excessive strain on the lower back, can help prevent recurrence.