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Does Mild Stenosis At L3-4 Is Cause Immobility?

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Posted on Tue, 29 Apr 2014
Question: This is with regards to my mother , 70 years old , who has a history of CKD , CABG , Diabetic Nephropathy amongst the host of complications. She was hospitalized on 14th for UTI and water retention. She got discharged on 17th March and readmitted on 19th March , as she had no strength to walk . She just slumped and could not take a step further . She has mild Stenosis (2012 trauma) , which was managed via physio sessions earlier. This time round , she was treated for metabolic encephalopathy , hypokalemia and hypercalcimia . Extensive physio therapy was given . She was able to walk with support and got discharged on 29th March. Again on 31st March she had a similar episode to lack of strength in her lower limb , back even to take one step. Had to be admitted on 2nd April . Again involving UTI and hypoglycemia . As of now everything is stable and under control including her kidney functions . The treating doctor has redone her LS MRI , which reveals the same Stenosis and L3,L4 wedge . My query is can this mild stenosis render the patient immobile ? Is Surgery the only solution ? Can phyiotherapy or any alternate route to ensure mobility.
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Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer: Mild stenosis is unlikely to render her immobile. Detailed Answer: Hi, Thank you for posting your query. I have noted the medical details of your mother. I do not think that mild stenosis at L3-4 is responsible for her immobility. These are related to her recent infections and metabolic problems (hypoglycemia, hypokalemia, hypercalcemia, etc). The recovery is a bit slow in older people. As of now, I would suggest to continue physiotherapy and exercises. Surgery should be avoided as it is unlikely to benefit her. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

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Does Mild Stenosis At L3-4 Is Cause Immobility?

Brief Answer: Mild stenosis is unlikely to render her immobile. Detailed Answer: Hi, Thank you for posting your query. I have noted the medical details of your mother. I do not think that mild stenosis at L3-4 is responsible for her immobility. These are related to her recent infections and metabolic problems (hypoglycemia, hypokalemia, hypercalcemia, etc). The recovery is a bit slow in older people. As of now, I would suggest to continue physiotherapy and exercises. Surgery should be avoided as it is unlikely to benefit her. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/