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Suggest Treatment For Severe Pain When Diagnosed With Slipped Disc

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Posted on Thu, 4 May 2017
Question: Hello Doctor,
my brother is diagonesed with slip disc problem. He did since last month physio therapy but still situation is not improved.
would you please help me in this regard.
find attached report for reference.
doctor
Answered by Dr. Dr. Gopal (31 minutes later)
Brief Answer:
Start Pain killers ,muscle relaxants , Pregabalin + physiotherapy

Detailed Answer:
Hi I am Dr Gopal Goel Orthopedic Surgeon.
Your brother's MRI Shows retro-listhesis L4-5, L5-S1 with post disc bulge at LS1 (L) side causing secondary canal stenosis. He has two problems- Retro -listhesis + Slipped disc.
If he were my patient , I would start Mild pain killers ,Muscle relaxants, a combination of pregabalin and methycobalmine + Physiotherapy( IFT and Spinal Flexion exercises) for 2 weeks then I would reduce the medicine dose. Also temporarily A Lumbar support will help.
For long term - mainstay would be exercises , precautions like no weight lifting. Surgery may be required if he does not improve with conservative management .
Thanx for the question. Please feel free to ask any other question.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Kampana
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Dr. Dr. Gopal

Orthopaedic Surgeon

Practicing since :1983

Answered : 1539 Questions

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Suggest Treatment For Severe Pain When Diagnosed With Slipped Disc

Brief Answer: Start Pain killers ,muscle relaxants , Pregabalin + physiotherapy Detailed Answer: Hi I am Dr Gopal Goel Orthopedic Surgeon. Your brother's MRI Shows retro-listhesis L4-5, L5-S1 with post disc bulge at LS1 (L) side causing secondary canal stenosis. He has two problems- Retro -listhesis + Slipped disc. If he were my patient , I would start Mild pain killers ,Muscle relaxants, a combination of pregabalin and methycobalmine + Physiotherapy( IFT and Spinal Flexion exercises) for 2 weeks then I would reduce the medicine dose. Also temporarily A Lumbar support will help. For long term - mainstay would be exercises , precautions like no weight lifting. Surgery may be required if he does not improve with conservative management . Thanx for the question. Please feel free to ask any other question.