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Suggest Treatment For Severe Facet Arthropathy
Question: I have severe facet arthropathy , extruded disc and severe canal stenosis. I got an epidural steroid injection 2 days ago at L 4-5 . The pain prior to the injection was severe in both buttocks and down back of both legs. Since the epidural injection, the pain has been reduced 70%. My question is-- the pain doctor wants to do 2 more.. each 3 weeks apart. Do you think it is a good idea to do 2 more?
Also, should I start physical therapy now or wait until after the next 2 injections? Im worried about all the stretching when it feels better now.
I really benefit from deep tissue massage therapy in the past. Is that ok? I just dont want to hurt the back again and want your opinion on what is best.?
Also, should I start physical therapy now or wait until after the next 2 injections? Im worried about all the stretching when it feels better now.
I really benefit from deep tissue massage therapy in the past. Is that ok? I just dont want to hurt the back again and want your opinion on what is best.?
Brief Answer:
Complete the injection schedule
Detailed Answer:
Hello,
I have gone through your question and understand your concern.
You should get the other two injection too at the recommended schedule.
Physiotherapy should be started gradually once the pain has decreased substantially.
Postural care is important. Avoid stooping forward, lifting heavy objects, sitting crossed leg or squatting.
Severe stenosis may require surgical intervention if medical treatment fails.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Complete the injection schedule
Detailed Answer:
Hello,
I have gone through your question and understand your concern.
You should get the other two injection too at the recommended schedule.
Physiotherapy should be started gradually once the pain has decreased substantially.
Postural care is important. Avoid stooping forward, lifting heavy objects, sitting crossed leg or squatting.
Severe stenosis may require surgical intervention if medical treatment fails.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
Dr, what are the best things to do to avoid surgery? To keep stenosis from getting worse? Is there anything?
Brief Answer:
Follow instructions as advised
Detailed Answer:
Hello,
Physiotherapy under guidance leads to strengthening of back muscles, reduction in disc prolapse and reduction in canal stenosis.
Avoid stooping forward, sitting crossed leg, squatting or lifting heavy objects.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist
Follow instructions as advised
Detailed Answer:
Hello,
Physiotherapy under guidance leads to strengthening of back muscles, reduction in disc prolapse and reduction in canal stenosis.
Avoid stooping forward, sitting crossed leg, squatting or lifting heavy objects.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Kampana
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