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Pain around lower back
Hi, I have lumbarization of S1 and it was diagnosed on March 2018. I was under treatment including physio. But it doesn't make any improvement. Since 2018 I couldn't able 2 sleep over left side. I m always having pain around my lower back region and it's been radiating towards my left leg. I m having 2 sons both were C section. One is 4 yrs old and other is 9 months old. I could feel swelling over tat region and now a days I m having pain around my pelvic region. While passing urine I can feel tightness in tat place. While taking bathe, I m having numbness around my lower back. Wat 2 do..I m staying at Chennai near kundrathur.. Due 2 curfew I couldn't able 2 go 4 treatment. Wat 2 do?
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Lumbarisation of S1 is a normal variation seen in the general population and not the cause of your Back & leg pain
Pls get MRI LS SPINE with whole spine screening done
Pain in pelvic region while passing urine can be related to Urinary infection or gynaecological problem
For further plan of treatment and assessment can get in touch with me for online consultation on Practo
Rgds
Dr Bhavin Shial
Consultant Spine Surgeon
Mumbai
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Please share your MRI of lumbar spine. Physio and muscle strengthening exercises might help. Drink plenty of water to avoid dehydration because dehydrated disc is more prone to injury or buldge.
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Detail history and discussion is needed to suggest treatment, consult with me directly through Practo. Take care
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This treatment is being suggested on bases of the information provided. However
I would like to examine & investigate you in detail.
Control Hypertension, Diabetes or metabolic disorder, if there is any.
Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plus (Mankind) 1 tab OD x 10 days.
(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Let the part not be exposed to cold.
--. Sleep on a hard bed with soft bedding.
--. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for lower back.
--.(Take help of a physiotherapist or,
visit my you tube channel 'ncgupta me and my yoga'.)
--Do not ignore, let it not become beginning of a major problem.
--Do ask for a detailed treatment plan.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
--Wish you a quick recovery & good health.
--I hope, I have solved your problem to your satisfaction.
Dr N C Gupta MS (ortho).
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Consult orthopaedic surgeon/ spine surgeon.
MRI LS spine...will help in diagnosis..
Radicular pain in leg may be due to disc prolapse....u need to rule out!
Next Steps
visit specialist as suggested immediately!
Health Tips
avoid exercise with bending forward or backward.
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It is common problem in young adults due to sacralization there will reduce of joint and alao disc space cause nerve compression and cause radiating pain. If prolapse disc prominent soudural steroid injection can reliev your pain rataher than going to surgery at this age
Next Steps
Go for mri lumbar spine
Health Tips
Ask your physiotherapist to do IFT,TENS,SWD and core strengthing and stretching excerises
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Has your physiotherapist taught you spinal extension and core stability exercise..?
You might need to learn and do the exercises for at least half an hour a day..
Drink plenty of water.. cranberry juice may help in urine problems
You may need analgesic with muscle relaxant and Gabapentin..
But exercises is what would help you in long term
You can use flexabenZ ointment locally where you have pain
Hot fomentation may also help
We may need to evaluate further
Starting from x rays etc
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Dr. Srinivas Thati
Orthopedist
23 yrs exp
Hyderabad
Hi, your symptoms are suggestive of compression of nerve root in the lower lumbar region due to ?disc prolapse.
Do you have any numbness or weakness in the legs? Do you have burning while passing urine? Are you able to hold urine? If yes to these questions, you need evaluation by examination by a spinal surgeon with possible MRI scan as well.
Next Steps
Please visit local hospital as early as possible.
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