MRI Lumbar Spine

2024-11-22 07:35:24
Hello Doctors, One of our known persons, has been suffering from stiffness in both the legs in the morning time. As soon as he wakes up, he is not able to move his legs, forcefully he is able to move his legs. When consulted the local orthopaedic, an MRI was taken and I have attached the same for your reference. Could you please and suggest what should be the next course of action, could the issue be resolved with medicines. Thanks.
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Normal canal diameter is above 12mm In this report L4L5 it is 5mm,and atL5S1 it is 3mm Need surgery for complete recovery Need decompression surgery at L4L5 and L5S1 level Delaying surgery can lead to more nerve damage and poor Neurological recovery

Answered2024-12-05 06:44:31

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This treatment is being suggested on bases of the information provided. However I would like to examine & investigate the patient in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any.  - Sleep on a hard bed with soft bedding. - Keep no pillow under the head. - Avoid painful acts & activities. - Fomentation with warm water. -Let the part not be exposed cold. -Do mild exercises for the affected part.- back and lower limbs  -Any way it may be tried, --. Ugesic (Piroxicam) 20mg 1tab once  a day x 5days  --. Caldikind plus  (Mankind) 1tab Once  a day x 10 days. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. -For exercises you may visit my YouTube channel- Dr. N C gupta. -Wish you a quick recovery & good health  kindly like & subscribe to the channel to get notification for subsequent videos of your intrest. it is free.  Dr N C Gupta MS (ortho) DMC 3624

Answered2024-11-28 21:43:32

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Lumbar canal stenosis.. Need to examine patient for clinical and neurological status.. If correlates, he will get benefit with surgical decompression with or without fixation

Answered2024-11-25 08:33:54

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Severe spinal canal stenosis at 2 different level It requires surgery for early recovery

Answered2024-11-24 14:01:14

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