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Loosing hope with the pain
I have pain in whole back majorly right hip ,both legs majorly right leg .I don't know what to do .it eases when I lie down and sit on soft surfaces but walking feels difficult and body feels so tight .I have more of a momentary pain then when I am stable.i have attached the mri .
Answers (5)
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The MRI shows mild disc bulges at L4 L5 and L5 S1 without significant nerve root compression. It also shows straightening of the normal lumbar curve, which can occur with muscle spasm. These findings are generally managed conservatively and do not suggest a need for surgery based on the report.
Your symptoms of back pain, hip pain and pain in both legs need a clinical examination to determine whether the pain is coming from the spine, muscles, hip or another source.
Next Steps
Please consult an orthopaedic for examination of your back, hips and legs. Physiotherapy focusing on posture, core strengthening and gradual stretching is usually helpful once the exact pain source is identified.
Health Tips
Avoid prolonged sitting, heavy lifting and sudden bending for now. Continue gentle daily activity rather than complete bed rest. If you develop increasing weakness in the legs, numbness around the groin, difficulty controlling urine or stools, or severe worsening pain, seek urgent medical attention.
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The MRI report is relatively reassuring. It shows mild disc bulges at L4–L5 and L5–S1, but importantly no nerve-root compression. It also mentions straightening of the lumbar spine with paraspinal muscle spasm. Mild disc changes on MRI do not always correlate with the amount of pain a person experiences.
Since you are having pain involving the back, right hip and both legs with difficulty walking, the MRI alone is not enough to determine the cause. A clinical examination of the spine, hips, sacroiliac joints, muscle strength, sensation and reflexes is needed.
Next Steps
Consult an orthopaedic/spine specialist or physical medicine specialist for an in-person examination. If there is no neurological deficit, treatment is usually conservative initially, with appropriate activity, physiotherapy/exercise and pain management rather than surgery.
Health Tips
Avoid prolonged bed rest and avoid heavy lifting until evaluated. Seek urgent medical attention if you develop increasing leg weakness, numbness around the groin/saddle area, loss of bladder or bowel control, or rapidly worsening difficulty walking, as these can indicate significant neurological involvement.
For this patient: the MRI does not currently show a surgical disc problem; because he specifically says walking is difficult and both legs are involved, I would recommend an in-person neurological and orthopaedic examination rather than simply treating the MRI report.
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Please get personal consult with orthopedic specialist for physical examination and further management
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
Get personalised consultation done
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
7 yrs exp
Ahmedabad
Better to check physically in this case
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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.