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Suggest Ways To Manage Pain When Diagnosed With Sciatica

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Posted on Thu, 4 May 2017
Question: Last Monday I had steroidal epidural lumber my left leg pain is excruciating through day and sleep depleting .When can I expect relief .What can I do to have less pain.It is the first time I have had this treatment but the disability has been with me since Dec 17. Can you please advise me . Sciatica.
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Answered by Dr. Ajay Panwar (3 hours later)
Brief Answer:
Please upload a clear report.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist, here to answer your query.

The report which you have uploaded is blurred.I would appreciate if you can please click a clear image and upload it.

For now though, if you have severe pain, opioids(Tramadol) and antineuralgics(Duloxetine,Pregabalin) can be of help.You can discuss the same with your treating physician.

Hope it helps.I shall be glad to have you in follow-up with further details.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (4 days later)
Reports attached.
doctor
Answered by Dr. Ajay Panwar (5 hours later)
Brief Answer:
Antineuralgic medicines and Physiotherapy

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

I have gone through the report you have uploaded, which mentions of L4-L5 central canal stenosis with foraminal stenosis. Of course, pain appears to be medicated with nerve radicle compression and irritation.

Since epidural injection has already been tried, I would suggest a trial of antineuralgic medicines in appropriate doses along with physiotherapy.

A sample prescription like-
Tab pregabalin-M(75) twice a day
Tab Duloxetine 30 mg once a day
Tab Flupirtine 100 mg twice a day
--may help.Along with calcium supplementation will be required. A Physiotherapist's opinion is also vital.

Hope it was of some help.I would be glad to have you in follow-up.
PLEASE TAKE MEDICINES UNDER PHYSICIAN'S GUIDANCE ONLY.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

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

Neurologist

Practicing since :2007

Answered : 1827 Questions

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Suggest Ways To Manage Pain When Diagnosed With Sciatica

Brief Answer: Please upload a clear report. Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist, here to answer your query. The report which you have uploaded is blurred.I would appreciate if you can please click a clear image and upload it. For now though, if you have severe pain, opioids(Tramadol) and antineuralgics(Duloxetine,Pregabalin) can be of help.You can discuss the same with your treating physician. Hope it helps.I shall be glad to have you in follow-up with further details. Regards Dr.Ajay Panwar, MD,DM(Neurology)