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S1 compression in intervertebral disc prolapse

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Category: Orthopedic Surgeon

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Category: Spine Surgeon
 23 Doctors Online


Thanks for your consult at DoctorSpring. I have read your question with diligence. You are having compression of your S1 nerve root with mild compression of thecal sac at L4-5.

You should know that disc prolapse can be treated by conservative measures as well as by surgery.

Looking at your age & your MRI report i will advice you to have conservative measures to correct your problem. You should do following to have relief in this-

-Check your posture.Learn correct bio mechanics of your back by a good physical therapist.

-Your physiotherapist may help you with some exercises & physical modalities like infra red,intermittent traction therapy,ultrasonic ,etc.

-As per literature 5 year results of surgery for disc prolapse & conservative treatment are same.

-You should not worry as it is curable either by surgery or with conservative methods.You may consult to a neurosurgeon for this.

Hope this helps, please feel free to discuss further.

Patient replied :

Dear Tiwari sir,Thank u for ur reply..
MY Consulting doctor is orthopedic surgeon.As per ur reply i has to consult a neurosurgeon rather than orthopedic surgeon..pls confirm..
Iam going to marry in next three months,this problem may effect my sexual life or not..or has to drop my proposal..
By daily exercise i can overcome this problem or not..


A Ortho / NeuroSurgeon who has experience in Spine Surgery will do. Also called Spine surgeon in some places. Exercise can help. You will not have sexual problems ( under normal circumstances ). But the pain can be a hinderance to the sexual act. But do not worry, this a very common problem and can be successfully treated.

Regarding the marraige proposal -I cannot comment specifically, but if you can carry on with your daily activities without much pain there is no problem. Sex will also be fine.

Hope this helps,
Please feel free to ask followup questions / clarifications
Thank you

Dr. Mukesh Tiwari
Category: Spine Surgeon
Fellowship - Khandaka Hospital, Jaipur
Residency - MS, Rabindranath Tagore Medical College, Udaipur, 2000
Medical School, Internship - MBBS, SMS Medical College, Jaipur, 1995
Dr. Mukesh Tiwari and 4 other Medical Specialists are ready to help you

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