I am suffering from lower back pain. I have extrusion at l4 and l5. I took ayurvedic treatment from one of the known hospital in kerala. My issue is the back pain is not totally cured until now. Doctor suggested me to go for swimming and he told with swimming it will be totally cured. Is it right? Is going for surgery for lower back pain is a good idea. I am looking for a permanent solution. Life without pain. Which simple exercise will help me to totally cure the back pain issue. Below is mri report findings. - straightening of lumbar lordosis denoting muscle spasm with left covex scoliosis - degenerative changes of the disc matter at l4 - l5 and l5- s1 as well as degenerative changes of upper end plate at l5 (modic ii) - annular radial tear with diffuse matter at l3- l4 obliterating the anterior epidural fat diffuse disc extrusion of l4- l5 obliterating the anterior epidural fat compromising both neural foramina more upon left one with caudally migration defuse disc protrusion with l5 s1 obliterating the anterior epidural fat compromising left neural foramen small intraosseous hemangioma of l1 vertebral body arthropathy of posterior facet at l4 - l5 and l5 - s1 levels.
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For situations like this exercises which extends your back are helpful. The more you do these exercises the more you gain strength in the back and the chances of having less pain. Swimming is one of the back extension exercise and here water acts resistance just as dumbbells for pumping biceps. So it's a good exercise. If that's not possible then you need to check with a physiotherapist to learn spinal extension exercises. As well to you need to consult orthopaedician for further evaluation.
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Surgery is reserved for pain that does not get controlled with conservative measures and provided the disc prolapse is causing nerve root compression. Your mri does not sound that drastic. Consult a spine surgeon who may offer you epidural steroid injection and that will also help him decide if surgery can be useful for you.
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