What are the treatment options for my sciatica?

Question

Hello doctor,

I am a 38-year-old male with a height of 5.7 feet and a weight of 143.3 pounds, facing a problem of pain in the left leg, weakness, and numbness, tingling in the feet, and stiffness in the thighs, along with pain in the calf muscles. I am facing difficulty in walking. I have done an MRI of the spine.

Please provide me with appropriate medicines for my pain. Kindly advise on the report and let me know if this is sciatica, and what the treatment will be for the same?

I will go for an MRI with contrast in the coming week. Till that time, kindly advise on some medication. Currently, I am on tablet Zerodol MR.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

You have mentioned pain in the left leg along with weakness, tingling, and numbness.

First, could you please tell me the duration of your symptoms?
Is there any associated back pain as well?
Is 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 9magnetic resonance imaging) of the dorsal 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 an 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.

Take care.