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What is the treatment for mild wedge compression fracture and bulging discs in the spine?
Orthopedic Disorders
Consultation #54604
68 days ago
367

What is the treatment for mild wedge compression fracture and bulging discs in the spine? - #54604

Client_d328ad
FREE

Hello Levels L1-2 L2-3 L3-4 L4-5 L5-S1 mm 7.8 8.5 7.7 8.7 6.9 Screening of bilateral SI joints on STIR coronal images reveals no abnormal signal intensity. Screening cervico-dorsal spine in T2WI sagittal images reveal:- Diffuse posterior bulge of C4-5, C5-6 & C6-7 discs with peridiscal osteophytes compressing anterior subarachnoid space. Diffuse posterior bulge of multiple dorsal discs indenting anterior subarachnoid space. IMPRESSION: Mild wedge compression fracture noted involving the L1 vertebral body with approximately 50% reduction in height and retropulsion compressing thecal sac and conus. T2 & STIR hyperintense signal seen in conus at this level suggestive of edema/myelomalacia. No abnormal post contrast enhancement is seen. Minimal inflammatory changes are seen in the bilateral psoas muscles. Grade I retrolisthesis of L5 over S1 vertebra is seen. Multilevel spondylodegenerative changes, more marked at L1-2, L2-3, L3-4, L4-5 & L5-S1 levels as described. Screening of bilateral SI joints on STIR coronal images reveals no abnormal signal intensity. Screening cervico-dorsal spine in T2WI sagittal images reveal:- Diffuse posterior bulge of C4-5, C5-6 & C6-7 discs with peridiscal osteophytes compressing anterior subarachnoid space. Diffuse posterior bulge of multiple dorsal discs indenting anterior subarachnoid space.

How long have you been experiencing back pain?:

- More than 6 months

How would you rate the severity of your back pain?:

- Moderate — affects daily activities

Have you experienced any numbness or tingling in your legs?:

- No, not at all

What treatments have you tried for your back condition?:

- Pain medication

How is your mobility affected by your back condition?:

- I am mostly bedridden

Do you have any associated symptoms like weakness in your legs?:

- Yes, mild weakness

How would you describe your overall energy levels?:

- Low — I feel fatigued

Doctors' responses

Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
68 days ago
5

Report shows L1 compression fracture with retropulsion and conus edema, plus multilevel disc bulges and degeneration. This is a serious Vata disorder affecting Asthi–Majja; avoid forceful therapies. Focus on brimhana + mridu snehana, strict rest and support. Immediate care (important) Use lumbar brace, avoid bending/lifting No strong massage, no spinal manipulation Bed rest with log-rolling technique Internal medicines (dose): Lakshadi Guggulu – 2 tablets twice daily after food Ashwagandha Churna – 3 g twice daily with warm milk Shallaki (Boswellia) – 400 mg twice daily after food Maharasnadi Kwatha – 15 ml + equal water, twice daily after food Praval Pishti – 250 mg twice daily with ghee or milk For nerve support: Brihat Vata Chintamani Ras – 1 tablet once daily with honey/ghee External (only gentle): After acute pain reduces: light application of Ksheerabala Taila on back (no deep pressure) Diet: Milk, ghee, sesame, ragi, green gram, dates Avoid dry, cold, light food


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