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Lumbrosacral spondylotic changes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Following severe lower back pain, MRI was done for a 58 year old woman. MRI opinion is given below: " early lumbro sacral spondylotic changes with: - broad based central protrusion l4/l5 disc causing thecal sac indentation
- grade I spondylothesis l5, S1 level due to bilateral l5 spondylolysis and mild bilateral foraminal narrowing effacing the fat planes around the exiting nerve roots. "
Kindly suggest for pain relief as well as permanent cures, other than a surgery and pain killers. She has already had a round of physio therapy, which did not give her any relief from pain.
sk, delhi
Doctor :   HI,
User :   hello.
User :   yes ?
Doctor :   may i know what medication she is on now ?
User :   she was suggested ecotox for pain. our ortho doc said, that was fine. but, she doesnt take that regularly to avoid pain killers.
User :   dos hasnt suggested anything particularly.
User :   *doc
Doctor :   Has she used any topical pain killers ?
User :   no
Doctor :   i would suggest you to apply DICLOFENAC topical gel over the affected area
User :   oh, like an ointment. she has been appying a gel. that hasnt helped though.
Doctor :   and yes surgery is a permanent cure , as physio on long term can provide some relief without medications
User :   what if she doesnt get the surgery done. she's too frail for that.
User :   will it get worse ?
Doctor :   let her try Voveron Gel
User :   hmm....she has tried a variety actually. nothing has helped.
Doctor :   ye, it will get worse but may take time , and take ore time if physiotherapy is continued
User :   already, i think, her urinary incontinence is related to this. would getting worse mean immobility and more pain ?
User :   isnt there any treatment to prevent it from getting worse ?
Doctor :   more pain is first
Doctor :   immobility could be expected at very late satges
User :   so, pain will keep getting worse, and there is no way at all, to stop it, other than surgery ?
Doctor :   yes,
User :   has homeopathy helped people ?
Doctor :   no , since its a long term and age related problem , the effect of medicinal treatment is very negligible over cure
User :   oh. ok. i came here to find hope. u have taken away even what I had.
Doctor :   I am sorry , i meant to share my knowledge
Doctor :   spondylolysis is a long term illness and the fate is not much good with medications
User :   hmm..thanks. can you suggest good physiotherapy places in south delhi ?
Doctor :   Sure please wait for a minute while i get you the address
User :   also, how major is the surgery for this?
Doctor :   surgery involves decompression , well its a very common surgery and help ful too
User :   ok, thanks a lot.
User :   session is going to expire soon.
Doctor :   Chhabra physiotherapy center
User :   will it be posible for u to get the address in this short time ?
User :   oh, thanks so much !!
Doctor :   Wazir singh street
User :   really grateful.
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