I am 65 years old with weight 88 kg and height 5'10". I suffer from moderate hypertension and diabetes since last eight years but always in control of medicines. Last year I had undergone angiography as an age-based test and symptom of pain on starting walking short distance a few meters. Many times it does not, in a mid-thoracic area of the upper back and epi-gastro area. But things were seen normal except for a small branch which was 100 % clogged but the cardiologists said it does not matter. This problem of feeling pain when walk some meters started four years back. It is surprising that if I jog stationary position for even two minutes no pain. Now since a few days when I lie down on the bed also the pain starts but not in sitting position. So an MRI was recommended and I underwent MRI of the spine with contrast. The report is in brief here:
12 years back, I had L4/L5 disc bulge problem stenosis and sciatic nerve type pain in leg left and burning sensation and pinpricks in feet of both legs. I was about to go for surgery but an osteopath corrected this with manipulations for 5 to 6 days and signs abated. Till then this part is fine. But now there is some pain or mild sensation sometimes in legs. I sit long hours on the computer and am academician so have a sedentarylife. I also have GERD type problem. It is also noted by me that if I continue walking for a few days by stopping frequently then after a few days pain does not occur or come after long walks. Now my worry is in light of all the history and records. Questions:
Currently, I am taking medications for diabetes, acidity, and hypertension.
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I appreciate your detailed history. The symptoms you have described are suggestive of neurogenic claudication due to the neuro-foraminal stenosis and disc bulges in the spine. If the pain is the prominent symptom, then conservative therapy should be done first. But if you have any weakness or sensory loss or urinary symptoms, then I would recommend consulting a spine surgeon. Conservative management includes the following:
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