Suggest Treatment For Back Ache Radiating To Leg
Surgery may help.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms, MRI reports and the treatment received so far.
As per the MRI report, there is moderate compression of the nerve at L4-5 level (lower back region). This is responsible for your back pain and leg pain.
Surgery would definitely help at L4-5 level, and MISS (minimally invasive spine surgery) done at this level would relieve the leg pain.
However, prior to the surgery, a good trial of medical treatment should be done. The correct dose of lyrica (pregabalin) is upto 300 mg daily. So, I would recommend you to increase its dose slowly to the desired level.
Physiotherapy should also be done.
If above measures fail, surgery may be attempted.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Yes, surgery would help.
Detailed Answer:
Thank you for getting back.
Yes, minimally invasive surgery would be helpful and you would be able to travel in a month's time to USA.
Also, you would be able to climb steps.
After surgery, you would need physiotherapy. Physiotherapist would teach you back extension exercises.
If pain persists, you can take lyrica after surgery also. If you were my patient, I usually prescribe 75 mg twice daily.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Surgery is safe.
Detailed Answer:
Thank you for getting back.
Minimally invasive surgery is fairly safe and there is no risk.
If pain is less, you can manage with lyrica. Other alternative medications include gabapentin and duloxetine.
Physiotherapy should be continued.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)