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Spondylosis in the lower back L4/L5
Hey
I am a law student who has been suffering from lower back pain for the last 4-5 months. I have been on medication since then but the pain never went away. The back pain gradually started radiating into the legs with the left leg in particular. I also tested positive for HLA B27 and I am afraid I am showing symptoms of ankylosing spondylitis. The MRI report says narrowing of neural foramina at L4/L5 and anterior thecal sac mild compression at L5/S1. The MRI screening of SI joints revealed nothing unusual .
My doctor says it could be just a muscle spasm or simple nerve compression because apparently a small percentage of people having HLA B27 don't suffer from Ankylosing Spondylitis. I am in a fix as to what the problem could be. Is it really Ankylosing Spondylitis or just foramina stenosis as said in my MRI report?
I am really tired of this pain now as it has affected by happy life to the worst possible level. I am looking forward to a honest expert medical opinion.
Thanks
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Hi, you need to visit a good Physiotherapist as you got to be on regular exercises because of HLA B27. Unfortunately it leads to immense muscular weakness. Back pain will come down on strengthening and postural correction exercises.
Next Steps
Exercise regularly
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⢠Apply Hot Fomentation twice daily
⢠.
Avoid bending in front.
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Postural Correction- Sit Tall, Walk Tall.
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Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times.
⢠Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
⢠Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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