Get E-Book on COVID-19

Q. My mom has severe back pain that radiates up to toes. Please suggest a solution.

Answered by
Dr. Anuj Gupta
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jul 30, 2020

Hello doctor,

My mother is suffering from back pain. I have taken MRI by consulting a doctor. Can I get the best suggestion for this problem?

MRI impressions:

1. Spondylolysis of L5 vertebra.

2. Bulging L5-S1 disc with central protrusion, small osteophytes, hypertrophy of facets causing indentation on theca, encroachment of neural foramen.

3. Bulging L5-S1 disc causing mild impingement on theca, encroachment of neural foramen.

Dr. Anuj Gupta

Orthopedics And Traumatology Spine Surgery
#

Hello,

Welcome to icliniq.com.

Well, first of all you have given incomplete information. Tell me if her back pain also goes to any of the lower limbs? How much distance she is able to walk in one go? Please tell what all medications she is taking? I cannot understand anything written by your doctor (attachment removed to protect patient identity).

Also, it will be my advice to book a video consultation of mine because the treatment procedure is quite lengthy and I have to explain to you all the available options.


Was this answer helpful?

 | 

Thank you doctor,

My mother is suffering from back pain and it goes to the right lower limb until toes. She is able to walk only for 5 minutes and later on suffering from pain and unable to sit for more than 10 minutes. For two days, she is getting swelling in her legs.

Medicines used by her at present are Gabapentin, Methylcobalamin and Nortriptyline tablets in the night, Enteric-coated Rabeprazole sodium with Domperidone SR capsules in the morning, and Aceclofenac, Paracetamol, Chlorzoxazone tablets daily morning and evening.

Dr. Anuj Gupta

Orthopedics And Traumatology Spine Surgery
#

Hello,

Welcome back to icliniq.com.

Well, she has lumbar canal stenosis. So what happened in this is, there is a decreased diameter of spinal canal due to which she is not able to walk for more than 5 minutes.

Now, considering her walking time, she needs surgery because 5 minutes is very less and this signifies that compression is severe. But, we can give her a fair trial of conservative management. If she responds, then it is good. If not, then you will have a satisfaction that everything has been tried now.

So, coming to the medication part.

1. There are three kinds of drugs that are given in this condition. All three drugs have different maximum dose and we titrate the dose accordingly. Which means, we increase the dose gradually. So you have to be in regular follow-up with me.

2. Stop Nortrytiline and make tablet Gabapentin 300 mg twice a day.

3. Do not take Aceclofenac and chlorzoxazone for a long as they can be harmful to the kidney.

4. Get TENS (transcutaneous electrical nerve therapy) therapy done for two weeks from nearby physiotherapists.

Ask her to walk frequently as much as she can. Walking will improve the strength of her back muscles.

Please contact me after three days. If no relief, then we will increase the dose further.


Was this answer helpful?

 | 

Related Questions:
What is the difference between thoracic and lumbar fusion?
How does my recent MRI report vary from the one taken eight years ago?
Please suggest the best remedy for back pain.

Related Video
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Does the MRI of the neck show any sign of cancer?

Query: Hello doctor, My mother is suffering from severe neck pain for the past year. Her doctor believes it might be arthritis, but he is not sure. She even got several shots in her neck for pain by a physical therapist but nothing seems to be working. My mother got her first MRI scan done a week back with...  Read Full »

Had cervical polypectomy and experiencing back pain. Will it subside in time?

Query: Hi doctor, I had cervical polypectomy and was told to expect brown discharge. Now experiencing cramping, minor bleeding, vinegar smell, and severe back pain, to the point that I am dizzy and nauseous. A couple of days earlier had a bunch of discharge that looked like dark reddish and orangish skin....  Read Full »

Understanding Low Back Pain

Article Overview: Low back pain is commonly found in young and school going individuals these days unlike it was believed as a disease of old age. So this is a small article giving a basic understanding of low back pain in the young hard working generation. Read Article


Dr. Anuj Gupta
Orthopaedician And Traumatologist

Low back pain is the second most common ailment with common cold being the first. Previously, low back pain was considered age-related, that is, mostly seen in older individuals. So, it was considered a pain due to weak muscles and weak bones. But nowadays, back pain is quite common in the young pop...  Read Article

Also Read


Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»
I was diagnosed with Celiac disease a year back. Can you suggest any medicine?
Having celiac fromnlast 10 year dignosis recently ayear ago since then i am gluten free still cant absorb food feeling w...  Read more»
My head is shivering from 20 days, and it feels like head trauma. What is the cause?
Hello sir, My head is shivering like anything , feeling like trauma is head. And its start anytime in a day and when s...  Read more»

Ask your health query to a doctor online?

Ask an Orthopaedician & Traumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.