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Lower back pain
Hi. Pls advise about the attached MRI report. I am going thru physiotherapy from past 1 week and results are ok. But few times pain is recurring when i travel in bike after wearing LS belt also. Pain is random while resting at home also. Pls let me know how worse is my report and whats the best solution
Answers (18)
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Hey there!
Continue exercises for more days . It takes time. Secondly avoid bike rides. Bike jerks can aggravate the symptoms.
Avoid long hours of sitting. Take breaks after 1hr-45min of stretching. For more details you can contact me online with very easy steps. Click on consult button on your right side or call on my clinic number for online exercises guidance and life style modification.
Regards
Yourphysio
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Your mri suggest you have mild disc bulge at L3-L4 & L4-L5. So assessment is must tor your condition
Hope you are not experiencing leg pain or leg numbness.
Next Steps
wear LS belt in daily routines, do stretches of legs, strengthening of core muscles & back muscles, spinal exercise like Isometric back extensors, bridging, Isometric abdominal exs.
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avoid lying on your back for long time, avoid floor sitting for sometimes, wear flexible footwear while doing standing activity so thrust reduced by it on the back.
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â ï¸ Disclaimer
This advice is based on the information provided and is for educational purposes only. It does not replace a physical examination or medical diagnosis.
Your MRI shows mildâmoderate disc changes, not serious.
Pain flare-ups (especially during bike rides or even at rest) are common and expected in this stage.
ð Good news: Physiotherapy will work well for youâif it is properly tailored to your condition.
Next Steps
Detailed physiotherapy assessment is MUST to rule out root cause & customize treatment Continue physio, but ensure it is condition-specific, not generic Avoid activities increasing pain beyond tolerance (especially bike riding for now) Book an appointment for a systematic, structured rehab plan for faster recovery
Health Tips
Donât chase temporary reliefâfocus on -- correct movement ,posture correction, spinal mobility exercises , strengthening and stretching exercises respectively , electric stimulation, stability ð Right treatment + right progression = long-term recovery along with pain control
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As per your MRI findings add spinal extension exercises.
Avoid long sitting
No forward bending
Biking can give you jerks
Next Steps
Spinal strengthening exercises
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Consultation me online for proper exercises Protocols.
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Continue with physio sessions and do back strengthening exercises.
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Your MRI shows mild-to-moderate Lumbar Disc Bulge at L3-L4 and L4-L5 with mild nerve irritation. The good part is that you are already responding to physiotherapy, which is a positive sign.
Pain during bike travel and prolonged posture is common in such cases and usually improves gradually with proper rehab.
Next Steps
Continue physiotherapy regularly
✔ Avoid long bike rides, bending & jerky movements
✔ Focus on core strengthening and posture correction
✔ LS belt only for limited support, not continuous use
Health Tips
At present, this appears manageable conservatively, and most patients improve well with a structured physiotherapy program.
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Best solution includes to maintain a good posture along with back exercises. Frequent rest periods in between work.
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Avoid sitting for longer periods of time
Health Tips
Avoid lifting heavyweights and avoid forward, bending
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Reports indicate a sacralization of your L5 vertebra. You mentioned experiencing recurring discomfort while cycling, despite consistent physiotherapy sessions and the use of orthotic support. The primary objective of physiotherapy in this context is to enhance muscle strength and provide internal spinal support. While exercises contribute to internal support, relying on an LS belt can render these muscles inactive, as external support then assumes their function.
Next Steps
stop using ls belt for more time, wear it when it's needed most during hectic work
Health Tips
maintain the exercises what you told if you've any other doubts feel free to consult
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Ms. Priyanka Roy
Physiotherapist
9 yrs exp
North 24 Parganas
Do continue physiotherapy treatment.
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Thanks for the query .
First if all , there is a good news . Going by your reports , this condition of yours does not need any surgical intervention and can be managed conservatively with medications , exercises and precautions to further alleviate the condition .
You need to keep up with your exercise regime regularly without giving up , it will take some time but the results will be favourable . Medicines need to be taken to insure pain relief and improvement in nerve related damage . It will help reduce the inflammation and pressure from the compressed nerves .
Try to avoid exertion and strain , weight lifting , bending , running , heavy load exercises .
Avoid riding on a bike for sometime till the condition totally improves .
Next Steps
Let me know your current medicines and exercise regime so that I can further guide .
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Dr. Vishnu S (PT)
Physiotherapist
8 yrs exp
Thiruvananthapuram
Hi there. It is encouraging to hear that you are seeing some positive results after your first week of physiotherapy. Conservative management for lower back issues takes time, and consistency is key, so please continue with your physiotherapy sessions as planned.
Regarding the recurring pain during and after bike rides, even with a Lumbar Sacral (LS) belt, it is quite common. Two-wheeler travel subjects the spine to continuous micro-jerks, vibrations, and prolonged static sitting, which easily aggravate healing tissues.
Next Steps
Keep your treating therapist updated on these specific pain patterns (such as the resting pain) so they can fine-tune your manual therapy or exercise progression accordingly. Stay consistent, and give your body the time it needs to heal!
Health Tips
Here are a few clinical tips to help manage and prevent these flare-ups:
* Modify Your Commute (Temporary):If possible, minimize bike travel or switch to a four-wheeler for long distances while you are actively healing. If riding a bike is unavoidable, try to choose smoother routes, reduce your speed to minimize structural jarring, and take frequent breaks.
*Dynamic Sitting & Micro-Breaks: Avoid sitting in one position for more than 45 minutes to an hour. Stand up, gently change your posture, and perform any light mobility exercises recommended by your physical therapist.
*Check Your Core Activation:Ensure you are properly engaging your deep core muscles (transversus abdominis) while sitting or riding, rather than relying entirely on the LS belt for mechanical support.
*Resting Posture: For the random pain at home while resting, pay attention to your sleeping and sitting setups. Use a small lumbar roll while sitting on chairs, and if lying down, consider placing a pillow under your knees (if lying on your back) or between your knees (if lying on your side) to maintain a neutral spinal alignment.
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Dr. Mishi Gupta (PT)
Physiotherapist
11 yrs exp
Khandwa
Your mri shows disc compression at L3 - L4 and L4 L5..You should try to avoid forward bending and lifting heavy weights .Better continue your physiotherapy and do extention exercises.Try to avoid long bike ride.Apply heat over the pain site
Next Steps
Continue physiotherapy sessions
Health Tips
Avoid forward bending and lifting heavy weights
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Dr. Neetu Rathi (PT)
Physiotherapist
17 yrs exp
Gurgaon
Greetings from Rid of Pain Physiotherapy
Disc bulge is the problem visible in the report.but to solve the problem you need to solve the root cause of the problem that is pelvic misalignment and muscle imbalance.
So better you consult the chiropractor, osteopath, physiotherapist to solve the problem.
It will be the permanent solution. For more details connect us directly
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this report does not look like a severe spine condition, it does shows mild to moderate mechanical and nerve root irritation.
Next Steps
avoid lifting heavy weights, prolonged sitting, take breaks in between while working- take a small walk and continue with your physio sessions. it will take some time for you to be painfree.
Health Tips
be consiswte3nt with your exercises altleast do it twice a day
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi please take an online consultation for best diagnosis and treatment
Next Steps
According to report its not possible to give correct treatment
Health Tips
Rest
Postural care
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Dr. Afsa Rafiq (PT)
Physiotherapist
5 yrs exp
Srinagar
Avoid Foward bending
Consult online for better treatment and diagnosis
Maintain posture
Do hot water fomentation
Follow my Instagram page afsa_physio
Will give exercise
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.