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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 Dr. Preetha J
This is a premium question & answer published on Dec 07, 2014 and last reviewed on: Dec 07, 2021

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.

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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.

Take care.


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