Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
I am in29 years old female.i hav a son of 10 years.i have been suffering from lower back and legs pain since last 6 years.MRI SCAN report was given that L4-L5 minimally bulged.now a days i am getting unbearable pain and i cant even sleep.is this pain only due to the MRI reported problem or will there be any other problem.ASO titre report was positive.now i am taking GABANTIN 100,MECGLA,TRYPTOMER-10MG.Even then i am not getting relief.i am not getting sleep even after taking tryptomer because of severe pain.do i need to go for any other check ups.please suggest me.and also are these medicines relevant and how do they work?
Emergency Medicine Specialist, Dr. Prathap's Response
Hi.. You have Intervertebral disc prolapse at L4-L5 level leading to compression of the nerve root causing the radiating pain. Ideally for a minimal bulge the first line of management is medications, rest and later physiotherapy for initial 6 months. If pain persists then steroid injections are given and if the pan still persists then last to consider surgery( disc removal). Ans to your Qns: even a minimal bulge sometimes can cause severe symptoms like this due to inflammation and swelling around the nerve roots. considering your age If medical management has no sign of improvement then i would suggest to have a steroid injection which can cause pain relief.
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Suggest Remedy For Back & Leg Pain
Hi.. You have Intervertebral disc prolapse at L4-L5 level leading to compression of the nerve root causing the radiating pain. Ideally for a minimal bulge the first line of management is medications, rest and later physiotherapy for initial 6 months. If pain persists then steroid injections are given and if the pan still persists then last to consider surgery( disc removal). Ans to your Qns: even a minimal bulge sometimes can cause severe symptoms like this due to inflammation and swelling around the nerve roots. considering your age If medical management has no sign of improvement then i would suggest to have a steroid injection which can cause pain relief.