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I'm suffering from a herniated disc and muscle pain
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General Health
Question #20004
53 days ago
137

I'm suffering from a herniated disc and muscle pain - #20004

Sahil

I've been suffering from herniated disc and I often go through muscle pains. Muscle spasm and strains often happens to me and I'm suffering from nerve pain in sciatica because of the L4 L5 and L5 S1 discs. I don't need any oral medication. I need intramuscular injections only.

Age: 23
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
53 days ago
5

Hello dear See for herniated disc comprehensive treatment is required. It includes Physiotherapy Medication Both topical and oral Surgery. However in your case there may be requirement of physiotherapy exercises first Please follow below precautions for improvement Physiotherapy exercises for better strength Diclofenac sodium gel topical application twice a day for 15 days Voveron xr 50 mg twice a day for 1 week Crave bandage In case of no improvement consult orthopedic surgeon in person for better clarity Also go for intramuscular medication and surgical procedures after recommendation by concerned physician only Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
52 days ago
5

Hello,

Intramuscular injections are NOT recommended as routine treatment for disc herniation.

They only give short relief and can be unsafe long-term.

Best management: Physiotherapy & rehab exercises (most important) Heat packs, posture correction, avoid heavy lifting/twisting

Doctor may use injections only in selected severe cases (e.g., epidural steroid by spine specialist), not by request.

See Orthopedic Spine Specialist / Neurosurgeon + Physiotherapist for a proper plan.

Seek urgent care if: Leg weakness worsening Numbness in groin Loss of bladder/bowel control Severe uncontrolled pain

Conservative treatment works well in most young patients with proper guidance.

I trust this helps Thank you

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For managing a herniated disc, especially when muscle spasms, strains, and sciatica are involved due to L4-L5 and L5-S1 disc issues, there are several non-oral treatment strategies that could assist in alleviating symptoms. While you mentioned intramuscular injections, it’s essential to consult a healthcare professional to explore this option safely, as they can recommend corticosteroid injections, which might reduce inflammation and provide relief. Additionally, physical therapy can be invaluable; it typically focuses on exercises designed to improve flexibility, core strength and overall spinal stability. Techniques such as stretching, strengthening, and posture training can all help reduce pressure on the affected nerves. In cases where nerve pain persists, nerve blocks or anesthetic injections might be appropriate under a specialist’s guidance. Applying heat or cold packs to the affected area may offer temporary relief from muscle spasms. Heat can relax tight muscles, whereas cold packs might help reduce inflammation and numb sharp pain. You may also consider exploring alternative therapies like acupuncture or chiropractic care, which some patients find beneficial, although these should be approached with caution and professional advice. Maintaining good body mechanics helps prevent further spine strain; focus on sitting with proper lumbar support and avoid heavy lifting or twisting movements. If you’re open to injection-based treatments, reach out to an orthopedic specialist or pain management clinic that can provide targeted interventions tailored to your specific condition. Remember, while injections can mediate some symptoms, they should be a component of a broader management plan that includes rehabilitative and lifestyle modifications to facilitate long-term recovery.

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