HomeAnswersSpine healthback painWhy am I experiencing lower back pain, tingling, and numbness?

Is it concerning to experience lower back pain, tingling, and numbness?

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Published At February 11, 2024
Reviewed AtFebruary 11, 2024

Patient's Query

Hi doctor,

Six months ago, I experienced low back pain and pain in my right foot, along with tingling and numbness. I underwent an MRI, and the results are as follows:

  1. There is a mild straightening of the spinal curvature.
  2. Small anterior osteophytes are seen at L3, L4, and L5. Evidence of spina bifida is present at L5.
  3. Dissective disc changes and reduced disc height are observed at l5-S1.
  4. A concentric disc bulge at L4-L5 is indenting thecal sac, causing mild compromise in the bilateral neural foramina.
  5. There is a diffuse disc bulge with a posterior annular tear and postero-central extrusion at L5-S1, which is compressing the anterior epidural fat without nerve root compression or compromise in the neural foramina.

MRI impression: Mild spondylotic changes with diffuse disc bulge, posterior annular tear, and postero-central extrusion at L5-S1, compressing anterior epidural fat without nerve root compression or compromise in the neural foramina. Please help me understand if there is anything serious.

Hi,

Nothing much serious, you need to take medicines and do exercises. Instructions to reduce back pain include:

  1. Avoid lifting heavy weights.
  2. Avoid arching your back; instead, bend your knees to pick up something from the floor.
  3. Avoid sitting for long hours.
  4. Avoid 2-wheeler rides.
  5. Improve your posture while sitting.
  6. Try to get up from your chair every 20 minutes and take a quick walk around, then continue working. Always sit on a chair with back support.
  7. Do not get up suddenly from a sleeping position. Rather, turn to the side and then get up.
  8. Take bed rest if severe pain.
  9. Do hot fermentations locally over the affected area at least twice daily.
  10. Apply Oxalgin gel (a combination of Diclofenac sodium, Methyl salicylate and menthol) for local application, twice daily.

Please take the following medications as prescribed:

  1. Pregabalin 75 mg tablet, take one tablet three times a day for 15 days before meals, starting at 7 pm each day.
  2. Etoricoxib 60 mg tablet, take one tablet twice a day for 10 days after meals.
  3. Rabeprazole 20 mg tablet, take one tablet twice a day for 10 days before meals.
  4. Shelcal (Calcium and Cholecalciferol)500 mg tablet, take one tablet twice a day for 30 days before meals.
  5. Vitamin D 60 K units, take one tablet once daily for 10 days, then once a month for 11 months.

Remember to take these tablets only if you are not allergic to them. If you have bronchial asthma, please avoid taking these tablets. Do physiotherapy, McKenzie back extension exercises, back core strengthening exercises, glutei strengthening exercises, passive straight leg raising exercises. These exercises can be done initially under the supervision of a physiotherapist or learn to do them at home. Start physiotherapy once the pain reduces. Only regular exercises can give results. After the pain reduces, the following activities are good for you: swimming, yoga, and walking are good. Jogging, running, and weight-lifting may aggravate back problems. Consult your specialist doctor, discuss with them, and take the medicines with their consent.

Hope I have solved your query. I will be happy to help you further.

Thank you.

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

Dr. Sharoff Lokesh Mohan
Dr. Sharoff Lokesh Mohan

Orthopedician and Traumatology

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