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Lower back pain
Hi,
I have lower back pain. left foot is sensitive and have irritation in left buttock while sitting with mild pinching pain going through the whole left leg.
MRI shows :
mild straightening of lumbar lordotic curvature.
lumbar vertebrae are normal in height and marrow signal intensity. no marrow edema or osseous destruction is seen.
intervertebral discs are well hydrated.
mild posterior bulege is seen at L4-5 lebel minilally indenting the tecal sex without significant narrow of neural foramina or overt compression of any nerve root.
lower end of the cord and conus medullaris reveals normal signal intensity.
Answers (7)
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Physiotherapy treatment and stretching exercises according your MRI
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As per my point of view you are suffering from sciatica.
Consult your nearest physiotherapy clinic take modalities for 3 to 4 days for painrelief and then do exe like isometric back exe,back extensor exe,back muscle strengthening exercises
Also you can start calcirole sachet once in a week
Next Steps
don't band your back forward
take rest
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Postural Correction- Sit Tall, Walk Tall.
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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Looking at your symptoms and MRI scan you appear to have dynamic compression of nerve root of L4. Even though the MRI shows only mild narrowing, when you sit or stand there will be compression of the nerve root.
Work on improving you core muscle strength. Do core strengthening exercises, directed physiotherapy and yoga.
Take pain killers as needed.
If pain continues an x-ray guided nerve root injection will help.
Next Steps
Avoid putting too much stress on your back, maintain good posture and work on strengthening your core muscles.
Health Tips
If the numbness worsens seek immediate Spinal Surgeon opinion.
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In my opinion u are suffering from sciatica...u need to visit a Orthopedics followed by physiotherapy sessions like IFT / hot pack / US... also need to check ur levels of calcium vitamin d and vitamin b 12... in my opinion ur vitamin b 12 levels will be deranged...U can start with tab mecofol plus once at night... take care get well soon...
Next Steps
Visit an Orthopedic and physiotherapist
Health Tips
Do not bend ur back
Do not lift heavy weights
Avoid sitting and standing for long
Postural correction are important
Do not check ur pain
Do not exs till ur pain subsides
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It seams u suffering from pinched nerve of mild nature leading to sciatica like symptoms
Next Steps
u should get it checked with some orthopedist to rule out other pathology and lead u in right path
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Dr. Kavin Khatri
Orthopedist
10 yrs exp
Faridkot
Take tablet zerodol th 4mg twice a day for one week.
Take precautions and start exercises . Copy the link and download the instructions, I am sending you
https://play.google.com/store/apps/details?id=com.backpainrelieving.backpain
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