Suggest Treatment For Severe Pain In Back While Walking

Posted on Fri, 22 May 2015

Question: Hi sir,
Am writing this to you on behalf of my fathers illness, he is continously facing the severe backpain problem from past 3 months, we have showed him to well know orthopedic doctor Dr.subbayya garu in sunshine hsptl. initially he had L1 and D11 mild collapse after checking the MRI report doctor has gave us some calcium tablets,but now he is getting much more pain and unable to walk and suffering from sever back pain while waking up and also suffering from frequent urine problem and he is unable to control the urine and bowel moment and also keep talking in his sleep.

Kindly advice what can be done for this

Answered by Dr. Sudhir Kumar (4 hours later)

Brief Answer:
Treatment depends on MRI finding as well as symptoms.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your father's symptoms and MRI report.

If there is compression of spinal cord or nerves, then, surgery would be needed. Also, if there is bladder or bowel involvement, as in your father's case, surgery may be needed.

However, in initial stages, bed rest and pain killers are used. Common medications that can help are pregabalin and gabapentin capsules.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (13 hours later)

Hi sir,

Appreciate your quick suggestions on these, i have attached the MRI reports of my father for you to further investigate on the problem give us a good of solution and make dad comfortable

Our orthopedic doctor subbaiah garu gave the Painkiller (PARTRAM) and Calcium(Unicitolsk2) and told no need of surgery, so can we stop these medication and start yours (pregabalin and gabapentin capsules.)

Thanks in Advance sir.

Answered by Dr. Sudhir Kumar (4 hours later)

Brief Answer:
Please get him checked by a Neuro doctor also.

Detailed Answer:
Thank you for getting back.

I would suggest you to get your dad examined by a Neuro doctor also, to find out whether he has any neurological deficits due to vertebra collapse and fracture.

After that medication change can be done.

Good to know that surgery is not needed.

Also, he should use lumbar corset.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar