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MRI Lumbar Spine
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.
Answers (4)
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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
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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
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Dr. Pavan Kommineni
Orthopedist
13 yrs exp
Guntur
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
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
7 yrs exp
Ahmedabad
Severe spinal canal stenosis at 2 different level
It requires surgery for early recovery
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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.