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Disc prolapse, pain with tingling - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 631 Questions
User :   Hi There ive been diagnosed with a prolapse disc in the L1 area could you explain exactly what this is im undergoing injections which dont seem to be helping and im still getting pain in my left leg and sometimes a strange dead/tingling feeling and extreem pain which makes me feel im going to pass out I am taking 50mg Diclophenac and 50mg Tramadol twice dailey which seem to help would an operation be in order?
                                                                 
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   please let me read what you have typed.
User :   Hi There ive been diagnosed with a prolapse disc in the L1 area could you explain exactly what this is im undergoing injections which dont seem to be helping and im still getting pain in my left leg and sometimes a strange dead/tingling feeling and extreem pain which makes me feel im going to pass out I am taking 50mg Diclophenac and 50mg Tramadol twice dailey which seem to help would an operation be in order? Doctor: hi
Doctor :   what symptoms you are having at present?
Doctor :   could you describe your symptoms in detail?
User :   pain down my left leg starting in my buttock pain in my left leg and sometimes a strange dead/tingling feeling and extreem pain which makes me feel im going to pass out
Doctor :   ok
Doctor :   i will explain what is disc prolapse
Doctor :   the spine has cushions of tissue in between the vertebra called as discs.
Doctor :   these under pressure or due to injury get pressed and start bulging out of their normal space
Doctor :   when they bulge out of their normal space, they tend to press on the nerves that come out of the spine, called as nerve roots.
Doctor :   this cause the severe pain and pulling sensation that you are having.
Doctor :   the best way to control this is try something to reduce the pressure over it
Doctor :   which can be done by getting physiotherapy with traction for low back
Doctor :   along with other modalities like the SWD, IFT,
Doctor :   the pain medications and the topical ointments will help to relieve the local pain temporarily
Doctor :   once the pain is relieved, then exercises can be introduced to strengthen back muscles which you should continue doing to avoid pressure back on the vertebras and the discs
Doctor :   have you followed what I have said?
User :   what about the tingling and extreem pain im getting L1 what exactly does this affect and why
Doctor :   the tingling and the extreme pain as I said could be due to the nerve getting pressure on it
Doctor :   in the L1 vertebral level
Doctor :   so the pain and tingling will continue to be in all the parts where this nerve root supplies.
Doctor :   discuss about getting started on physiotherapy when you visit your treating doctor.
Doctor :   it will help in faster recovery and also the strengthening
Doctor :   of back muscles to avid future problems
Doctor :   if physiotherapy and medical treatment fail to provide relief completely, then surgery could be tried as last option
User :   what would be the time frame to consider an operation
Doctor :   about 3-6 months of medical management
Doctor :   if fail to give you relief, then you can consider getting the surgery done.
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