Advice

The L4 and L5 vertebrae are common sources of pain due to disc herniation, arthritis, or nerve impingement. The best treatment depends on severity, diagnosis, and duration.

Non-Surgical Treatments

• Physical Therapy

Focused on core stabilization, lumbar traction, posture, and nerve gliding exercises.

• Anti-Inflammatory Medications

NSAIDs, muscle relaxants, or nerve pain medication (like gabapentin).

• Epidural Steroid Injections

Temporarily reduce inflammation and nerve pain.

• Lifestyle Adjustments

Ergonomic modifications, weight management, walking routines.

Surgical Options (for severe or persistent cases)

• Microdiscectomy – Removes part of a herniated disc pressing on a nerve.
• Laminectomy – Relieves pressure by removing part of the vertebra.
• Spinal Fusion – For instability or severe degeneration.

Start with conservative care like physical therapy and medications. If symptoms persist or worsen (especially with nerve symptoms like numbness or weakness), advanced imaging and surgical consult may be needed.