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My Mom(54 Yrs) Is Suffering From Severe Leg Pain Since

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Posted on Thu, 6 Jun 2019
Question: my mom(54 yrs) is suffering from severe leg pain since 45 days. the doctors had suggested pain killers. the MRI report says there is a bulge in L4 and L5. the doctor has suggested for a surgery. is surgery necessary or can it be cured by epidural steroid injection. if so, is there any side effects?
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Answered by Dr. Dr. Praveen Tayal (5 hours later)
Brief Answer:
Physiotherapy is a better option.

Detailed Answer:
Hello,
Thanks for posting your query.

Your mother seems to be having a disc prolapse. The treatment is done according to the severity of symptoms. Medicines are the first line treatment along with physiotherapy.

If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient.

The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with her symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from her orthopedician.

Local analgesic gels and hot fomentation may provide a short term relief. She can use analgesic gels like Volini gel. Exercise is not advisable in times of acute pain.

Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective and surgical treatment is not considered. These do not help in improving the bulge but reduce the inflammation and pain for 8-10 weeks.

Please discuss with your orthopedician and appropriate treatment can be planned depending on the response to medical drugs.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.

Wishing you good health.
Regards.

Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

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My Mom(54 Yrs) Is Suffering From Severe Leg Pain Since

Brief Answer: Physiotherapy is a better option. Detailed Answer: Hello, Thanks for posting your query. Your mother seems to be having a disc prolapse. The treatment is done according to the severity of symptoms. Medicines are the first line treatment along with physiotherapy. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient. The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with her symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from her orthopedician. Local analgesic gels and hot fomentation may provide a short term relief. She can use analgesic gels like Volini gel. Exercise is not advisable in times of acute pain. Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective and surgical treatment is not considered. These do not help in improving the bulge but reduce the inflammation and pain for 8-10 weeks. Please discuss with your orthopedician and appropriate treatment can be planned depending on the response to medical drugs. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal