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Q. Does my spine MRI point towards sciatica?

Answered by
Dr. Akshay Kumar Saxena
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 10, 2018 and last reviewed on: Nov 14, 2022

Hello doctor,

I am 38 years old male with height 5 feet 9 inches and weight 65 kilograms facing a problem of pain in left leg, weakness, and numbness, tingling in feet and stiffness in thighs along with pain in calf muscles. I am facing a difficulty in walking. I have done an MRI of the spine. Please provide with appropriate medicines for my pain. Kindly advise on the report and let me know if this is sciatica and what will be the treatment for the same? I will go for MRI with contrast in the coming week. Till that time, kindly advise on some medication. Currently, I am on Zerodol MR.

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Hello,

Welcome to icliniq.com.

You have mentioned a pain in the left leg along with weakness, tingling, and numbness. First of all, can you tell me the duration of your symptoms? Is there any associated back pain as well? If your leg pain more or your back pain? How much distance can you walk on a daily basis and do you need analgesic (Zerodol- Aceclofenac) on a daily basis?

Also, I have seen your MRI scan (attachment removed to protect patient identity) and although it is not very clear, it definitely shows a spinal cord lesion at D9 level extending one level up and one level down, which can explain your current symptoms of compressive cord disease. I would definitely advise contrast MRI of dorso lumbar spine and an urgent neurosurgical consultation as it may require a surgical intervention depending upon your clinical examination results and contrast MRI findings. Till that time take tablet Zerodol (Aceclofenac) on SOS basis along with tablet Pregabalin or Gabapentin but kindly consult an appropriate neurosurgeon on an urgent basis. Kindly let me know if you require any further information or SOS.

For more information consult a spine surgeon online.



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