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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What's The Cause And Cure For Low Back Pain And Heel Pain While Standing When The MRI Says Mild Diffuse Disc Bulge In L4-L5?

sir, i am 30 years old male.. i am suffering from low back pain along with both heel pain for the past 5 years since than i have been consulted several specialist and according to their advices i had been gone through many physical examination out of them i have done MRI scanning 4 times but it could not diagonised my disease from where the pain is generated. At present my condition is very worse as i can't stand more than 5 minutes at a time due both heel pain but i can walk smoothly. Specially my pain is generated from my left side and whenever i stand my both heel started paining. Doctors says nothing is serious problem in your spine but my pain is killing me 24 X 7 hours. So i am confused what to do or where shall i go.My pain is different from others LBP patients... please advise..
The following are the result of MRI:-
1) Mild diffuse disc bulge in L4-L5
2) Sugar, Blood Pressure, uric acid are in normal level
3) Vitamin A, B, C, D levels are normal
4) Heel x-ray normal
5) Thyroid normal
6) HLA B-27 normal


Thu, 30 Jan 2014
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Orthopaedic Surgeon,  's  Response
Hi
For low back pain you start with lumbar traction short wave diathermy and back extension exercise along with mild analgesic.
If this does not help you can take low dose steroid and then should be tapered.
And if still you have you need to be given epidural injection.
Avoid forward bending and weight lifting.
For heel pain you have plantar fascitis so you wear soft foot ware dip your leg in hot and cold water for 15minutes 2 times a day.And mild analgesic.
If pain doe not subside local hydro cortisone injection should be given.
Hope above treatement will surely help you.
Get well soon.
Thank you.
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What's The Cause And Cure For Low Back Pain And Heel Pain While Standing When The MRI Says Mild Diffuse Disc Bulge In L4-L5?

Hi For low back pain you start with lumbar traction short wave diathermy and back extension exercise along with mild analgesic. If this does not help you can take low dose steroid and then should be tapered. And if still you have you need to be given epidural injection. Avoid forward bending and weight lifting. For heel pain you have plantar fascitis so you wear soft foot ware dip your leg in hot and cold water for 15minutes 2 times a day.And mild analgesic. If pain doe not subside local hydro cortisone injection should be given. Hope above treatement will surely help you. Get well soon. Thank you.