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How to cure a persistent six-year-long lower back pain which radiates to the legs?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a female, 38 years old, and married. I have suffered from lower back pain (slipped disc and sciatica) for the last six years. The pain has become unbearable now from the lower back to the toe of my left leg. My right leg gets numb if I stand for more than 3 to 5 minutes. My first MRI report (7 years ago) shows I had slipped discs L4-L5 and L5-S1. My recent MRI (a week ago) shows the same thing. I consulted a few doctors. Most of them suggested surgery. A couple of them suggested rest for 15 to 20 days with medicines. I am unable to do complete rest or surgery. Please suggest other alternatives to remove the pain as soon as possible. The pain is unbearable now. Currently, I take Vovo SR tablet, Tramore plus tablet, and Pregacip M capsule.

Thank you.

Answered by Dr. Penchilaprasad Kandikattu

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

You are suffering from cauda equina syndrome due to lumbar disc prolapse. You also may have compression of nerve roots of L4, L5, and S1 leading to severe pain along the medial leg and lateral leg with foot area. Until you get relief by decompressing it through surgery, it is difficult to control with medicine.

You can use a lower dose of tricyclic antidepressants like the tablet Nortriptyline 25 mg twice a day after consulting a specialist and with their consent. You can increase the dose of Pregacip M (Methylcobalamin and Pregabalin) to twice a day. Physiotherapy will be useful. If symptoms do not improve, please consult your doctor; he will examine and treat you accordingly.

Take care.

Medically reviewed by iCliniq medical review team
Published At October 22, 2022
Reviewed At October 6, 2023

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

This doctor is not available for online consultations on the platform anymore.

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