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Lower Back pain and leg pain
3 months ago my mother had a small accident due to which there was muscle pain in her thighs but the pain kept on going and the xray shows this please check it out if its a spine prolapse and what can be the best treatment for this.
Answers (7)
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Hi good morning,
This is Dr. Maitreya Patil, orthopedic spine surgeon.
I can see there is grade 2 lytic listhesis leading to translation of one vertebrae over the other leading to the pinching of nerves which come from the spinal cord and hence causing leg pain in the direction of the nerve that supplies that area.
Next Steps
Get an MRI LS SPINE WITH WHOLE SPINE SCREENING
Health Tips
For back and leg pain :-
Rx
- T. Myospaz forte 1-0-1 x 5 days after food for pain OR
- T. Zerodol MR 1-0-1 x 5 days after food
- T. Pan D 1-0-1 before food x 5 days for acidity
If vitamin D less than 30 and vitamin b12 less than 200 only then :-
- Injection Neurobion forte once a week for 3 weeks IM (vitamin B12)
- Injection Arachitol 6L IU once a week for 3 weeks IM (vitamin D)
If Vitamin D and B12 are in normal range then
- C. Uprise d3 60k once a week for 8 weeks after food (vitamin D)
- C. Meganeuron OD plus 0-1-0 after food x 1 month (vitamin b12)
- T. Gabapin NT 400/10 0-0-1 once a day after food will cause drowsiness effect lasting for 10 hours can take it at 8pm (for leg pain)
Advice
- Hot water fomentation
- 30 minutes daily walking morning and evening
- posture correction by adjusting laptop screen to eye level and chair height adequately
- High protein diet - 2 boiled eggs, jowar bajra, paneer soyabean
- Continue stretching exercises
- Physiotherapy after 5 days
- Avoid jerky movements
- Avoid heavy weight lifting, bending forwards, squatting, crossed leg sitting
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Kindly consult a spine surgeon.
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Need MRI LS spine with whole spine screening, along with need clinical examination by orthopedic surgeon/spine surgeon or neuro surgeons.
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There is listhesis(subluxed) .
Get examined at earliest.
Next Steps
Consult Orthopedic spine surgeon
Get MRI LS spine and share images and report
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Need Clinical Examination
Better to visit nearest Orthopedic Surgeon (Spine Surgeon)
Next Steps
MRI LUMBAR SPINE
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Dr. Mayank Dutta
Orthopedist
13 yrs exp
Sonipat
First of all it needs complete neurological examination of the Pateint and the present symptoms .
Based on the X-ray their is Spondylolisthesis with degenerative changes
Next Steps
MRI LS spine and Blood examination
Consult orthopaedic surgeon
Health Tips
Use Lumbar brace and avoid Forward bending and lifting
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
6 yrs exp
Ahmedabad
Get mri lumber 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.