
Suggest Treatment For Lower Back Pain And Dizziness

I am a patient of low back pain for the last 14 years. I have visited so may orthopaedic surgeons for my treatment. According to doctors my back pain is not very serious in nature and i will be relieved from pain by taking back care exercise and pelvic traction etc. However, as per doctors advised whenever i do back care exercises or have taken pelvic traction under the supervision of physiotherapist, i suffered from dizziness, vomiting and headache. In this condition whenever i try to move my head i feel strong dizziness and vomiting tendency.This symptoms remains for two to three days and then slow down. I have to take bed rest each times i do exercise, take pelvic traction or do some heavy work. Further, i find swelling on my forehead at the time of my physical activities. One other symptoms i would like to discuss that i feel like dizziness in normal condition too, when i try to see moving trains, buses and any fast moving object. During the course of treatment various tests- CT scan of CRANIUM, brain mapping, Xray of Cervical were conducted, but all reports are quite normal. I have no past history of head injury. One doctor on healthcare magic suggested me to visit ENT specialist. He is suspecting that I am suffering from Benign paroxysmal positional vertigo (BPPV) and he has suggest Caloric testing Audiometry and videonystagmography (VNG)-To check functions of labyrint. According to him, dizziness, vomiting, nausea and headache can be related to Vestibular migraine or Meniere's syndrome. I am attaching my reports.
Vertigo
Detailed Answer:
Hi
Welcome to Healthcare Magic and thanks for putting up the query
Your MRI report shows disc protrusion at L5 S1 level .This might be the cause for your back pain and vertigo on traction. I would advise you to consult a neurosurgeon as spinal reaction is causing dizziness. You should avoid any physiotherapy.
Vertigo on seeing a fast moving objects is a normal phenomenon called oscillatory vertigo and happens with everyone.
You should get MRI cervical spine done and vertigo assessment done.
Please tell me do you have any dizziness when you turn your head in a particular direction?
Any dizziness on suddenly looking backwards by turning neck?
FOllow up with the required information so that I can suggest you better.
Thanks and regards


Vertigo
Detailed Answer:
Hi
I have seen the report attached. This report also suggests disc disease at L5 level. Whether this can be managed without surgery or not can Only be said with certainty on examination. my advise is you should get yourself examined by a neurosurgeon or a neurologist. You should avoid any physiotherapy till you get a visit a neurosurgeon as in advanced cases it can prove harmful.
You are always welcome with any further questions.
Thanks and regards


Thanks & Regards.
Vertigo
Detailed Answer:
Hi
Thanks for the information
As you are saying you currently have no disc problem and the dizziness occurs on head turning only than it is positional vertigo.
Youshould get calorie test done and you should visit an ENT SPECIALIST and get Epleys manoeuvre done. This helps in BPPV.
Take tablet betahistine 8mg thrice daily for a week.
Avoid driving and sudden head turning rather turn the upper body.
You can ask visit an ENT SPECIALIST and learn vertigo exercises which prove very useful in such cases.
All the medicines I have prescribed will be available at prescription only.
Any further questions are always welcome.
Thanks and regards

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