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1000+ verified doctorsWhat is the treatment for mild wedge compression fracture and bulging discs in the spine? - #54604
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 monthsHow would you rate the severity of your back pain?:
- Moderate — affects daily activitiesHave you experienced any numbness or tingling in your legs?:
- No, not at allWhat treatments have you tried for your back condition?:
- Pain medicationHow is your mobility affected by your back condition?:
- I am mostly bedriddenDo you have any associated symptoms like weakness in your legs?:
- Yes, mild weaknessHow would you describe your overall energy levels?:
- Low — I feel fatiguedDoctors' responses
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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