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Suggest Treatment For Loss Of Lumbar Lordosis
Question: I have been having difficulty walking upright lately and went for a MRI which showed loss of lumbar lordosis due to muscle spasm; and also 'T2 hyperintense annular tear in both the L5-S1'. What do i do?
Brief Answer:
Rest and analgesic in main treatment.
Detailed Answer:
Hi
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. In my opinion the scan suggest acute disc prolapse of L5-S1 region. And the primary Treatment is rest in lateral position with both hip and knee slightly flexed. Analgesic such as ibuprofen is given for pain relief.Mecobalamin is useful. If pain is not relieved by ibuprofen then strong analgesic such as tramadol can be taken.It is a prescription medicine.
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
Rest and analgesic in main treatment.
Detailed Answer:
Hi
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. In my opinion the scan suggest acute disc prolapse of L5-S1 region. And the primary Treatment is rest in lateral position with both hip and knee slightly flexed. Analgesic such as ibuprofen is given for pain relief.Mecobalamin is useful. If pain is not relieved by ibuprofen then strong analgesic such as tramadol can be taken.It is a prescription medicine.
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Many thanks for your response Dr XXXXXXX I want further elucidation on the rest position. Am I to rest on my back or front? Also, please explain how the hip and knees are to be flexed during this position. I am changing my drug to tramadol from today but what dosage should I start with? Waiting for your reply. XXXX
Brief Answer:
Lateral position is half way between front & back
Detailed Answer:
Hi
Welcome back
Lateral position is half way between front and back( one side up while other down). Your one side (left or right) will be touching bed, not front or back. Hip and knee are to be kept slightly bend, not straight. Tramadol is generally taken in dose of 50mg 8 hourly however it can be taken 37.5 mg to start with so that it is well tolerated.
You can discuss with your doctor about it.
Everything else already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you good health
Take care
Lateral position is half way between front & back
Detailed Answer:
Hi
Welcome back
Lateral position is half way between front and back( one side up while other down). Your one side (left or right) will be touching bed, not front or back. Hip and knee are to be kept slightly bend, not straight. Tramadol is generally taken in dose of 50mg 8 hourly however it can be taken 37.5 mg to start with so that it is well tolerated.
You can discuss with your doctor about it.
Everything else already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you good health
Take care
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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