Diagnosed as Pott’s spine in the L4-L5 region. Severe pain in back as well in the right leg. What to do next?

Hello doctor,

Fourteen months ago, my wife went through a C-section delivering a baby girl. After 15 days of surgery, she started feeling lower backache with very local pain in bending, sneezing, and coughing. Initially, we thought it was a post-cesarean effect. As she was breastfeeding the baby, she took homeopathic medicines. Afterward, we consulted an orthopedic as there was no relief of pain. Three months later, we consulted a neuro medicine specialist. With certain blood investigations and an magnetic resonance imaging (MRI) report, they diagnosed it as a Pott’s spine in the L4-L5 region. The MRI report said there was an altered T2WI hyperintense and T1WI hypointense signal intensities noted involving the L4 and L5 vertebral bodies with the paradiscal destruction of the L4 vertebral body. A post-contrast study reveals heterogeneous involvement. An irregular peripheral enhancing T2WI hyperintense and T1WI hypointense collection is noted in intraosseous space, prevertebral and paravertebral space extending behind L4 and L5 vertebral levels. Small similar collections were noted in the adjacent psoas muscles. Anterior epidural space collection was noted behind the L4-L5 level causing spinal canal stenosis. The rest of the vertebrae were normal. Of late, she has started feeling severe pain in her back as well as in her right leg. Right now, she is feeling difficulty moving and walking. Can you please prescribe her what to do next? They have started the treatment course and suggested wearing an LS belt. The medications are as follows: R-Cin 500 mg once daily. Econex 850/300 once daily. Pzide 500 twice daily. Dolo 650 mg twice daily. Syrup Dicalciiplex N 1 tablespoon twice daily.

Hello doctor,

How severe is compression of nerves? Does she need to visit the doctor, or only bed rest is needed? Please reply keeping in mind that we have to go at least 200 to 350 kilometers to visit the doctor. She has been taking Powerflam MR (Diclofenac) twice daily to reduce pain for the last three to four days. Should this be replaced with tablet Disperzyme?