Q. How to deal with disc bulge and facet disease in L4 to L5 and right foraminal narrowing in L2 to L3?

Answered by
K. Thomas Jefferson
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 16, 2023

Hi doctor,

Mild degenerative changes in the lumbar spine are outlined level by level above. A disc bulge and facet disease approach the descending L5 nerve roots in the subarticular zone bilaterally at L4 to L5, and there is mild left greater than right foraminal narrowing at its level. The hypertrophied facet joint on the left at L5 to S1 exerts mass effect upon the descending left S1 nerve root, and extraforaminal disc protrusion on the left may abut the excited left L5 nerve root. The foraminal narrowing is also evident on the right at L2 to L3 and to a lesser degree on the left at this level and on the right at L3 to L4. What does this mean? I am now experiencing sciatic pain from the lower right back through my buttocks down to the right calf. Could it have progressed to this now presenting issue?



Welcome to

When I look at your report (attachment removed to protect the patient's identity) I infer that your problem has been chronic and you have been suffering for some time. The changes that had happened in your lumbar spine can be because of your weight and age. You can start to feel a change if you strengthen your sacroiliac joints and the lumbar spine joints. You can get it done by strengthening the muscles starting from the sacroiliac area and the lumbar spinal muscles. You need to strengthen the pelvic floor muscles also along with strengthening the lumbar muscles. Start with the simplest exercises and slowly graduate to challenging ones.

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