Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My 65-year-old grandmother has been suffering from chondrosis and she has had the treatment her doctor recommended her. However, the pain has returned. Her doctor told her to do some injections. Also, before that, she had a treatment where she did massages, ultrasound procedures but those did not help either. Her pain starts from the back and continues to the legs. In the back, she has an acute pain and in the legs, she has a dull pain. Recently, her shoulders have started to hurt too. Even painkillers do not help to reduce the pain and she cannot sleep at night. I am really concerned about her. What advise can you give? Anything would be helpful.
Sometimes she would have pain in the back and legs if she walked a lot but now as her doctor advised her to stay home and do minimum activities, she does not walk a lot. In order to stop the pain, the doctor gave her prescriptions. She had 8 mL of IV Xefocam, L-lysine, and 5 mL of injections: Artrocal Hampton and Cocarnit.
Please help.
Hello,
Welcome to icliniq.com.
From what you have mentioned, most probably your mother has sciatica which means that there is a compression of the nerves of her legs. Sciatica causes back painthat moves to one of the legs sometimes both (electric like). It is diagnosed with some physical examination tests and may require MRI (magnetic resonance imaging) to the back. It is treated conservatively in most cases but if failed or very severe, limits her movements and surgery is required. I request you to take Xefocam (Lornoxicam) rapid tablets 8 mg once to twice daily plus vitamin B12 ampule every three days intramuscularly plus Pregabalin 100 mg before bedtime for three weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. Physiotherapy consultation is required. Reducing weight will help a lot.
I hope this helps.
Thank you.
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Internal Medicine
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