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Back pain from last 1.5 months
Back pain from last 1.5 month not able to bend
Pain radiating to left leg into the calfs
Doctor advised to done MRI lumbar
It shows prolapsed invertival disc and lumbar spine stenosis. Ap diameter 8mm
No relief from constructive management
Also done epidural steroid injections on 17/02/2024
Still not relief much.
Question is what should i do and when it will resolve need further treatment
And how much time take epidural steroid injections to give relief
Answers (9)
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Do u have weakness in lowerlimbs ? Any loss of sensation in lowerlimbs?
Next Steps
share the MRI films pic, report
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Need to see mri images and report .
Have to take complete bed rest with other treatment,
Can take 6 weeks conservative trial before going for next step .
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Epidural steroid can take upto 1week to Starr acting
If pain still persists and unable to do today activities it's better to get evaluated and consider higher line of management since canal diameter its 8mm
Next Steps
further evaluation and clinical examination
Health Tips
avoid strenuous activities and lifting heavy weights, bending forward, use hard bed, watch out for weakness and loss of sensation
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Needs discussion, you can book a consultation through practo or instagram dr.jaideepgaver
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Wait for 2 more weeks to see results of epidural injection.
All Physio and exercises should be within pain limits, don’t over exert.
If symptoms don’t resolve, you might need surgical decompression of spine.
Next Steps
Consult a spine surgeon/orthopaedic surgeon
Health Tips
Avoid bending forward/lifting weights/long distance travel
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It is lumbar spine stenosis,
Next Steps
Take bed rest , use lumbar belt, avoid bending forward and lifting weight.
With epidural steroids , tab chymoral forte , analgesics, Physiotherapy and strict bed rest you may get relief from pain after 4 to 6 weeks.
Health Tips
Consult orthopaedic specialist.
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Use pain killer muscle relaxant and pregaba m
And calcium and vitamin D supplements
Epidural steroid injections give relief in a week gradually .. wait for 2- 3 weeks.Continue Physiotherapy
Next Steps
consult orthopaedician
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Dr. Mukhtyar
Orthopedic Surgeon
6 yrs exp
Bikaner
its PIVD
Next Steps
epidural steroid inj take time to act. take
muscle relaxant, tab pregabaNT. do physiotherapy. avoid weight lifting and forward bending. mostly prolapsed disc can cure with above.
Health Tips
if not improve then you will require surgery.
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
4 yrs exp
Ahmedabad
You can wait for action of steroid injection for 10 days
Rest
Acoid forward bending
Avoid weight lifting
Spinal flexion exercise
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.