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Spine Problem
I have done my MRI test and here are the key points in report
L4-L5 level :
Mild diffuse disc bulge is noted indenting the thecal sac and causing narrowing of
spinal canal , no e/o nerve root compression.
L5-S1 level :
Mild diffuse disc bulge is noted indenting the thecal sac and causing narrowing of
spinal canal , no e/o nerve root compression.
SACROILIAC JOINTS :
The sacroiliac joints appear normal. no articular surface erosions or edema noted.
Lumbar canal AP diameter at L1 to L5 levels:
Level L1 - L2 L2 - L3 L3 - L4 L4 - L5 L5 - S1
AP (mm) 13 11 12 11 11
Impression
L4-L5 level :Mild diffuse disc bulge is noted indenting the thecal sac and causing
narrowing of spinal canal , no e/o nerve root compression.
L5-S1 level :Mild diffuse disc bulge is noted indenting the thecal sac and causing
narrowing of spinal canal , no e/o nerve root compression.
I have attached report document.
Please help to overcome this problem going through continue severe pain.
Answers (3)
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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.
- 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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Consult doctor for physical examination and follow his advice
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Dr. Vinay Reddy S
Orthopedic Surgeon
1 yrs exp
Bangalore
Symptoms of the patient if he is having radiating pain to lower limbs , occupation of the patient . Since how long he is having symptoms.
As per mri nothing significant , can be managed conservatively. It will be better if other cuts of mri would have been there.
Activity modification - Bending and lifting weights , long two wheeler journey.
Next Steps
patient can start on basic medications
Analgesics - Tab Aceclofenac 100mg , 2 times a day .
if he is having radiating pain can start on low dose steroids for 5 days .
Tab pregabalin inthe night .
observe for 2 weeks . If pain is not relieved then we should take dynamic x rays of lumbosacral spine.
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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.