### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
1.Moderate degree of disc desication noted at T12-L1,L2-L3,L3-L4 and L4-L5 levels. 2.Broad based posterocentral and right paracenral herination of L4-L5 disc causing compression of transversing nerve roots at Right lateral recess and right neural foramina. Kindly suggest what is the action to be taken. Regards, Rachana

### output:

Hello, With my clinical practice of 12 years most of the cases with disc herniation, disc degeneration, disc prolapse have responded well to a physiotherapist. As mentioned by you about the MRI report but the main thing which is missing is the clinical symptoms like - pain in lower limb/s, tingling, numbness etc. As MRI is a diagnostic procedure and not a diagnosis we need to compare the clinical symptoms with the MRI reports. If there are no clinical symptoms the MRI cannot be considered as a diagnosis. It is a diagnostic tool to correlate the clinical symptoms. If you have any of the above-mentioned clinical symptoms than the treatment part will be this way. If the pain is radiating in nature then first need to try out McKenzie maneuver which you can find online, as this maneuver helps to centralize the pain and thereby stopping the radiation of the pain. Post acquiring the McKenzie maneuver position one needs to use hot water fermentation over the lower back to provide the soothing effect. Post which once pain level falls below the level of 5 in was Scale of 0-10 where 0 is no pain and 10 is maximum pain. Exercise the core, extensors group of muscles of the spine, hip, thigh, leg, in short, the whole lower limb. In case you are non-diabetic then using icing post-McKenzie maneuver position will also be okay and rest steps as mentioned above. In case you're trying for the first time and not getting an idea of how to perform in accuracy than taking guidance from a physiotherapist should be helpful. My experience of 12 years has produced a maximum recovery with the equal support of the patient for this condition. Most of them are now playing squash, marathon runners, mountain climbers etc. A normal life and more than that can be achieved is a good interest is provided in the case. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. 