Dr. Solanki Chirag Natwarbhai
Neurosurgery
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Patient's Query
Hello doctor,
I am a 30-year-old woman that has been diagnosed with a partially dislocated disc at L5 to S1 that shows a posterior bulge with a focal annular tear causing indentation of the adjacent thecal sac and abutment of left traversing nerve root. The pain has reduced in my back but now I am left with a horrific pain in my left leg that radiates down to my foot. A majority of the pain is the inside of my knee and I am unable to sit for more than five minutes. There is almost a heaviness inside my knee as if there is a ball stuck there. And I regularly wake up with pins and needles that go once I start walking. I have met four orthopedic surgeons who have all given me different opinions. I am not keen to have surgery performed so what are my best non-surgical options for this pain? Can I get rid of this intense pain without having surgery? What is the best way to treat this? Currently, I am taking Robinaxol-D.
Kindly advise.
Hello,
Welcome to icliniq.com.
From your description, I think there are two problems which are, back pain with radiation to left leg which is caused by the disc compressing a left nerve root, usually in this kind of problem if it is not relieved by rest for a week, medications for one to two months usually surgery is offered, the important thing is you should strictly not bend your back which is worsening your pain and your problem would not resolve also, avoid lifting weight and turn on one side while getting up from the bed, if you strictly follow this problem probably it would resolve, and medicines are just for temporary relief, it is not a cure, if by no means your pain (radiating from back to leg) is resolved then surgery is the best option or if you do not want surgery, root blocking injection may give relief for few days to months; and knee pain, which I do not think it is related to your back and disc problem especially if you have difficulty in bending knee or getting up or downstairs. So, get your knees tested and send me the reports. All these I have judged from your description. Exact diagnosis can only be made once I see you clinically.
I hope this helps.
Take care.
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Neurosurgery
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