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Q. I have a congenital malformation of the L5 lamina, retrolisthesis and spondylitis. Please advice.

Answered by
Dr. Vaibhav Ramesh Gandhi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 07, 2014 and last reviewed on: Oct 09, 2018

Hello doctor,

  • I am a 31 year old male, 6 feet tall, and I weigh 215 pounds.
  • Based upon an MRI scan 3 years ago, I have a congenital malformation of the L5 lamina, retrolisthesis and spondylitis.
  • Degenerative disc in L3 L4 and L5 S1, slight curvature is seen in my neck.
  • For the most part it is a nuisance that I tolerate.
  • I went through pain management for a while, but could not afford the 200 plus medicines every month.
  • Recently however the left side of my head and neck feel as if it has been caved in with a bat.
  • No relief, no abation, just constant pain.
  • As of last night, laying on my back causes both of my hands to go numb and a pain in my groin shooting to the back of my right leg has presented itself. 
  • I am no stranger to pain, but my day to day pain has elevated from a score of 6/10 to 8/10 and is pushing me to the edge of my endurance.

Please advice.

#

Hello, 

Welcome to icliniq.com.

I have studied your case.

  • Due to compression of nerve root there can be tingling sensation, numbness and pain in your arm.
  • Also there is large disc bulge which is compressing over spinal cord.
  • For these symptoms analgesic and neurotropic medication can be started.
  • Avoid lifting weights.
  • You can consult a physiotherapist for help.
  • Physiotherapy like ultrasound and interferential therapy will give quick relief.
  • I will advise to check your vitamin B12 and vitamin D3 levels.
  • If nerve compression becomes symptomatically severe, then surgical decompression will give permanent relief.

Consult an orthopaedician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist

Take care.


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