What is the treatment for L4 and L5 bulging disc?

Treatment for bulging discs in the L4 and L5 regions of the spine may vary depending on the severity of your condition, but typically include non-surgical methods such as physical therapy, spinal injections (epidural steroid injections), anti-inflammatory medications, and activity modification.

Physical therapy is often used to reduce pain and improve range of motion through stretching exercises. Spinal epidural steroid injection can be useful for reducing inflammation around the affected disc(s) which may further relieve symptoms caused by nerve compression. Anti-inflammatory medications are taken orally or topically to help reduce swelling which may cause additional nerve compression or pain. Activity modification helps protect your back from further injury by avoiding any activities that worsen your condition or create more discomfort.

Surgery is usually reserved for more severe cases when conservative treatments have failed to provide adequate relief after a period of 6–12 months. Surgery is used to decompress compressed nerves while also treating herniated/bulging discs with a procedure known as discectomy. Most patients find significant improvement in their symptoms following surgical treatment; however it should always be discussed with a medical professional before making a decision regarding surgery as there are various risks associated with any kind of operation.