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Lower Back, Hips, Legs Pain, Tingling And Numbness. Done MRI, Disc Protrusion, Annular Tear. What Does This Mean?
Hi The last couple of months my lower back has been hurting again (had surgery 2010). Causes my hips, butt, and legs to all hurt with tingling and numbness in feet. Had MRI impression states: 1. postopertive change of fusion L5-S1. Listhesis with old spondylolysis change contributing to left forminal stenosis at this level. 2. Small disc protrusion centrally with annular tear at L4-L5 without a significant spinal stenosis present. Mild facet degenerative change. 3. L1 though L4 stable no significant developing central or neural foraminal stenosis otherwise seen. Thank you
Wed, 24 Jul 2013
hi,
thanks for your querry
the disc protrusions may be pressing on the spinal cord and giving rise to these symptoms,
this needs rest. spinal exercises and some times analgesics.
better consult a neuro surgeon if not relieved by these measures
hope this reply will do
take care
Dr MV Subrahmanyam MD;DCH
thanks for your querry
the disc protrusions may be pressing on the spinal cord and giving rise to these symptoms,
this needs rest. spinal exercises and some times analgesics.
better consult a neuro surgeon if not relieved by these measures
hope this reply will do
take care
Dr MV Subrahmanyam MD;DCH
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1 Doctor agrees with this answer
Hi, thanks for writing to HCM.
All the findings in your description suggests DEGENERATIVE CHANGES in the lumbar spine.
All these changes might either produce BACK PAIN or pain down the leg if there is compression over the nerve root.
The general guidelines for these problems is as follows -
* avoid lifting heavy weights
* avoid forward bending activities
* Use a lumbosacral back support
* Intermittent pelvic traction
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants.
Hope this information is helpful. Good day
All the findings in your description suggests DEGENERATIVE CHANGES in the lumbar spine.
All these changes might either produce BACK PAIN or pain down the leg if there is compression over the nerve root.
The general guidelines for these problems is as follows -
* avoid lifting heavy weights
* avoid forward bending activities
* Use a lumbosacral back support
* Intermittent pelvic traction
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants.
Hope this information is helpful. Good day
I find this answer helpful
1 Doctor agrees with this answer
Hi,
Thanks for posting your query.
* The description suggests that you have lumbar disc disease with radiculopathy. The initial management for this problem is conservative by following means :
- Bed rest
- analgesics and ocassional muscle relaxants
- Methylcobalamine preparations which helps to alleviate your "pins & needles" sensations
- lumbar back support while sitting for longer periods
- intermittent pelvic traction
If you dont get any relief within 3 weeks, you need an orthosurgeons consultation to decide upon the need for surgical intervention.
Hope this will helps you. Feel free to ask me if you have any further queries.
Wish you good health. Take care.
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
Thanks for posting your query.
* The description suggests that you have lumbar disc disease with radiculopathy. The initial management for this problem is conservative by following means :
- Bed rest
- analgesics and ocassional muscle relaxants
- Methylcobalamine preparations which helps to alleviate your "pins & needles" sensations
- lumbar back support while sitting for longer periods
- intermittent pelvic traction
If you dont get any relief within 3 weeks, you need an orthosurgeons consultation to decide upon the need for surgical intervention.
Hope this will helps you. Feel free to ask me if you have any further queries.
Wish you good health. Take care.
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
I find this answer helpful
1 Doctor agrees with this answer
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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