Lumbar spondylolisthesis 4/5 disc bulge is relatively common in clinical practice. Its treatment usually chooses conservative treatment such as general treatment and drug treatment, and surgery can be used when the condition is serious.
1. General treatment: bed rest in the supine position or lateral position, strengthening the muscles, fascia and ligaments of the lumbar back in daily life, and wearing a waist corset to reduce the stress on the lumbar vertebrae during activities. At the same time, you can choose traditional Chinese medicine physical therapy, such as hot compresses, physiotherapy, acupuncture, massage, massage, etc., to relieve pain symptoms.
2. Medications: You can use anti-inflammatory and analgesic cream and other pain creams, or ibuprofen and other non-steroidal anti-inflammatory painkillers. At the same time, add vitamin B1, methylcobalamin and other neurotrophic drugs, in order to alleviate back pain, lumbago and other uncomfortable symptoms. If the localization is accompanied by muscle spasm, tension, etc., can be added with ethylprednisolone.
3. Surgical treatment: through the diagnosis and evaluation of the patient, minimally invasive or incision methods can be chosen. Minimally invasive surgery, such as radiofrequency ablation, can cause the bulging lumbar 4/5 intervertebral disc tissue to dissolve and atrophy, so as to relieve the compression on the nerve root or spinal cord. Incisional surgery, which commonly includes discectomy and interbody fusion, is indicated for a small percentage of patients suffering from intractable low back pain or even lower extremity pain.
It is recommended that when suffering from lumbar 4/5 bulging discs, timely visit the hospital to identify the cause of the disease and actively cooperate with the doctor’s treatment. The above medications should be used in accordance with medical advice.