I am suffering from disc bulge at the level of L5-S1. It causes pressure at nerve root for past two months. I am under treatment but no satisfactory improvement in these two months. Please help.
Welcome to icliniq.com. You have mentioned from MRI findings as L5/S1 disc bulge, instability at L5/S1 level and pars defect of L5 with likely compression of both exiting L5 nerve roots. I would like to know few more details such as,
Revert back with your MRI and x-ray films to a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon
Thank you for your quick reply. My pain started a year back. On that time, it was paining like hell but now I will give it 3-4 on a scale of 1-10. Yes, the pain radiates from back to left leg, over the past two weeks it has reduced up to the calf of left leg. After 45-60 minutes of walking or 60-90 minutes of sitting on chair the pain becomes unbearable. My shoulders became uneven. There is no sign of weakness in legs. I have attached my MRI and x-ray reports.
My medical history details are, My first visit was a year ago to doctor for the pain. He suggested me not to lift weight and lean forward. He prescribed me Acenac P, Toprazole, Rolosol gel for 3 months. After three months my pain was gone and there was no problem at all. My pain started again two months back and I visited same doctor. He asked me to go for an MRI and prescribed Nucoxia-MR, Pyrigesic 650 and Omez. After seeing my MRI reports, he gave Indocap SR, Opara-Semi, Rablet 20 and Meganeuron OD plus. He advised me to use Neoprene back support lumbar belt and 21 days phsiotherapy interferential therapy (IFT) and transcutaneous electrical nerve stimulation (TENS) over lower back. After ten days he prescibed me D-Kool, Dolo 650 and Axogurd SR for two months. But I am not satisfied with the improvement. Whenever I asked him how much time will it take, he never assured me. My age is 24 and I am a software developer. Due to this problem I have left my job. This not only making me physically weak but it also affected my career. So, please look into this matter deeply and suggest me what should I do?
Welcome back to icliniq.com.
I have gone through your clinical history and the investigation studies (attachment removed to protect patient identity).
Pars interarticularis defect.Investigations to be done:
X Ray LS (lumbosacral) Spine - lateral (flexion and extension views)Preventive measures:
1. Avoid lifting any heavy weight.
2. Avoid acute forward bend especially in morning.
3. Avoid traveling on uneven surfaces especially in two wheeler for a long-time.
Revert back with the x-ray report to a spine surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon
I have attached my x-ray of LS spine both flexion and extension view. Please inform me does the condition need surgery? How much time will it take to get heal? Please suggest the best for me. Thank you.
Welcome back to icliniq.com. I have gone through your x-rays and they look fine with not much instability at the L5/S1 region. As of now you can continue with the regimen I have advised. It includes,
You should improve clinically if you observe these measures and workup accordingly.
Revert back after three to four weeks to a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon
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