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Dr. Nitish Mandal

MRI shows a disc bulge. Do I need surgery?

A bulge on a scan and the pain you feel are not always the same thing. Examination comes before an operation is planned.

MRI shows a disc bulge. Do I need surgery?

This article is from Dr. Nitish Mandal, Consultant Pain Physician in Bangalore, with clinics in Koramangala and J.P. Nagar.

What the film shows, and what it does not

MRI shows structure. Two people can have similar disc pictures and very different days. Surgery is not the automatic next step because a bulge is visible.

What the visit asks instead

Does the pain shoot into the leg? Does sitting make it worse? Conversation and physical examination come before treating the caption on the scan.

Non-surgical options listed here

Ozone discolysis and transforaminal epidural injections for selected sciatica, after the source is confirmed. Some people still need a surgeon. That is an honest outcome of the visit, not a default.

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I have tried tablets and physiotherapy. What is different here?

Find the source of the pain, then treat that source with a clinic injection, block, or infusion. You are typically able to go home the same day.

Where are the clinics, and do I need an appointment?

Koramangala and J.P. Nagar. Prior appointment is preferred. You can book from this website.

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