Question
QUESTION: dear doc. Tim what to do will i be able to go back to physical work(bending,and packing out freight)im 54 years old? here are my mri results- there is disc hydration loss, disc space narrowing and disc bulging with anterior disc extension at L2/3with a superimposed central subligamentous disc herniation and redial annular tear that impresses on the thecal sac. AtL3/4 level is disc hydration loss and a diffuse bulge that has peripheral components left greater than right that extend into the neural foramen with anteriour disc extension.At L4/5 disc hydration loss and posterior disc bulge that impresses the thecal sac.it has peripheral components that extend into the nuural foraman.L5/s1 disc hydration loss disc space narrowing and bulging with anterior disc extension and spur formation.there is a subligamentous disc herniation and radial annular tear that is impressing on thecal sac. a grade I spondylolisthesis is present.there is no prominent facet arthrosis and underlying L5 spondylolysis. benign hemangioma involves the right aspect of L4 inferiorly.what to do  once again THANK YOU


Cox Technique   ANSWER: I treat your type of condition regularly. It will be subject to reinjury with your type of work. I would see a chiropractor that performs spinal decompression or COX technique. You will have to perform stretching and core strengthening exercises from here on. This condition can be stabilized and then it needs to be controlled. Where do you live?

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QUESTION: i live in new York so you are saying that returning to full duties will land me into the same condition or worse even with stretching and strengthening? been out of work for a week now. seen a chiropractor today so got some relief.
Thank for your advice and quick response

Answer
Very likely, you need to be extra careful. You condition is a progressive degenerative condition, meaning it gets worse with age and abuse. If you are able to exercise you back each week and go periodically to see you chiro to help control you condition, you will have better luck.