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What Does The MRI Report Indicate?

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Posted on Thu, 4 Jun 2015
Question: I am 34 year old female. Last month I started to have slight pain and tingling in the left leg and it became strong 10 days back. Got MRI done (attaching the report). Some doctors recommending immediate fusion surgery while some say conservative methods to be used first and if no response then microdiscectomy should be considered. What do you suggest? Thank you.
doctor
Answered by Dr. Vaibhav Gandhi (32 minutes later)
Brief Answer:
Yes you can wait for surgery do conservative treatment first.

Detailed Answer:
Hello,

I have studied your case and seen MRI report.

Yes you can wait for surgery.
Do conservative treatment first.

Medication like methylcobalamine with Pregabalin and analgesic will reduce pain; you can take them consulting your treating doctor.

Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.
Now lift both hand and leg simultaneously, 6 inch off the ground and stay
Position for around 10 breathes. Core stabilizing spine exercises will help.

You may consult physiotherapist for further guidance. He may start TENS, or IFT which is helpful in your case. If you have started it continue it for few more days.

I will advise to check your vit B12 .

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you find this answer helpful do not hesitate to rate this answer at end of discussion.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaibhav Gandhi (11 minutes later)
Thank you Doctor. I am also uploading the MRI film on youtube as a series of videos for you to check if there is any other advice you would like to give to me. Thank you again. (Link: https://www.youtube.com/watch?v=f8ZJDott_Ks&list=PLaHco8rEmncLuGFTe9407i7haYjGI25OD)
doctor
Answered by Dr. Vaibhav Gandhi (1 hour later)
Brief Answer:
Conservative treatment will help

Detailed Answer:
Hello

I have seen your MRI,

Conservative treatment will help you .

You will get more benefit by spine care programme- happening in XXXXXXX ,from 21 to 24 may,6 am to 8.30 am at MGM polytechnic college.

What is your weight? as obesity will increase severity of symptoms.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaibhav Gandhi (27 hours later)
Thank you Doctor, your answers are really comforting.

My weight is 54 Kg as of now (height: 5 ft)

One more question is troubling me which is:
One of doctor's that I met said that if surgery is not performed soon then it can lead to permanent damage like loss of Bladder control, paralysis of the leg, etc. He said that symptomatic non-surgical treatment will not help in resolving the compression of the nerves. I want to know your opinion on this possibility of long term damage.

Lastly, can you recommend any doctor/physiotherapist in XXXXXXX who can assist me with your recommended line of treatment?

Thank you again.

doctor
Answered by Dr. Vaibhav Gandhi (17 hours later)
Brief Answer:
nerve compression is difficult to resolve

Detailed Answer:
Hello again

Nerve compression is difficult to resolve by conservative therapy so you need good protocol for relief.
At this time of may 2015 the best and available therapy for you is spine care and posture programme happening at XXXXXXX
Many patients have got benefit of this programme and there surgery is cancelled due to relief. XXXXXXX is not far away from XXXXXXX this programme will help you to avoid your surgery.
programme is at mgm polytechnic hall from 21 may to 24 may 6 am to 8.30 am. After programme you can take physiotherapy at my XXXXXXX hospital N.5,bajarang chowk. CIDCO XXXXXXX

I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What Does The MRI Report Indicate?

Brief Answer: Yes you can wait for surgery do conservative treatment first. Detailed Answer: Hello, I have studied your case and seen MRI report. Yes you can wait for surgery. Do conservative treatment first. Medication like methylcobalamine with Pregabalin and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inch off the ground and stay Position for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or IFT which is helpful in your case. If you have started it continue it for few more days. I will advise to check your vit B12 . Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care.