I'm 26 and I recently had an MRI done that shows I've got diffuse annular bulging at L5S1. It mentions minimal compression of the thecal sac. I'm really concerned and a bit confused about what this all means for me. What should I be doing next? Is this something I need to worry a lot about?

Answered by 1 Apollo Doctors

Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

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The diffuse annular bulging at L5S1 causing minimal thecal sac compression can be managed conservatively initially. You can take over-the-counter pain relievers like Acetaminophen or Ibuprofen for pain management. Additionally, physical therapy and exercises focusing on strengthening the core muscles can help alleviate symptoms. In some cases, muscle relaxants like Cyclobenzaprine may be prescribed to help with muscle spasms. If the pain persists, your doctor may consider prescribing stronger medications like Tramadol. Remember to follow up with your healthcare provider for further evaluation and management.

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Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.