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Treatment option other than surgery for bilateral nerve root compression - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3545 Questions
Doctor :   hi
Doctor :   How can i help you
User :   Hello Sir
User :   This is regarding my mother's back pain
Doctor :   Please carry on
User :   the recent Digital Xray Report says
Doctor :   Yes carry on
Doctor :   are you there?
User :   Grade 1 listhesis of L5 over S1 vertebra is noted due to lysis of pars interarticularis L5
User :   L5 vertebra
Doctor :   ok
User :   The disc space between L4-5 vertebra also appears mildly reducded
Doctor :   hmm
User :   Infact she was operated in June 2007
Doctor :   for?
User :   the discharge summary says
User :   L4-5 lEFT fENESTRATION AND DISCECTOMY
User :   THE REASON FOR SURGERY STATED IS - l4-5 eXTRUDED DISC CAUSING BILATERAL NERVE ROOT COMPRESSIN
User :   COMPRESSION
User :   WITH MILD l5-S1 DISC PROLAPSE
Doctor :   ok
User :   SHE HAD BOTH THE PROBLEMS ,OF WHICH THE l4-5 DISC CAUSING BILATERAL NERVE ROOT COMPRESSION WORSENED
Doctor :   ok
User :   SO ON A JUDGEMENT THAT THIS IS THE MAJOR CAUSE FOR HER BACK PAIN, SHE WAS OPERATED
User :   BUT NOW THERE IS NO REDUCTION IN PAIN
User :   NOW THE DOCTOR SAYS YET ANOTHER SURGERY
User :   MY MOTHER IS NOT MENTALLY PREPARED FOR ONE MORE
User :   WAHT CAN BE DONE?PLEASE SUGGEST
User :   ARE THERE ANY TREATEMENT WITH OUT SURGERY\
Doctor :   With all the bistory you have give
Doctor :   sorry history
Doctor :   The major thing for the bilateral compression is IV disc bulge which was operated upon
Doctor :   When was the operation done
User :   JUNE 200
User :   JUNE 2007
Doctor :   Does she have similar kind of back pain
Doctor :   or any change in its charecter
User :   YES ALONG WITH LEG PAIN
User :   NOW SHE IS TOTALLY ON BEDREST
Doctor :   ok
User :   ONLY WHEN SHE SLEEPS ON HER LEFT SIDE , MAY BE 10 % REDUCTION IN PAIN
Doctor :   Is she able to carry out her normal activities
User :   not really,
Doctor :   I mean
Doctor :   brushing, eating her food sitting in a chair
Doctor :   bathing etc
User :   yes that she can do
User :   but today she suffered heavy pain during bathing
User :   now she is just lying
Doctor :   Is the MRI done
User :   yes, before the surgery it was done
Doctor :   after the surgery
User :   no
Doctor :   When was the last Xray done
User :   after the surgery, only digital X ray was suggested
User :   which was done in first week of feb 2008
Doctor :   Is she prescribed any exercises after surgeruy
User :   not realy,but she was advised Physiotherapy
Doctor :   I mean to say physiotherapy
User :   she was on Physiotherapy for a month
Doctor :   How many days after surgery she went to physio
User :   and few moderated exercises were asdvised which she pracitsed for about a month
User :   after 3 months she started Physiotherapy
Doctor :   Was she asked to stop
Doctor :   after one month
User :   no
Doctor :   Then why did she?
User :   till last week of Jan she practised
User :   when the pain was terrible ,and she could not continue ,she stopped
User :   then we consulted the doctor who operated her
User :   then after the Xray he advised one more surgery
Doctor :   But you said the operation was done in JUne
User :   yes
Doctor :   where had he undergone surgery
Doctor :   Who is the doctor?
User :   operation was done in June 2007,she was put on Physiotherapy
from October, practisedexercises till last week of Jan
Doctor :   Ok I got you
User :   Surgery was done at Neurology department,xxxxces
User :   Dr xxxx
User :   now she has numb ness in her left leg also
Doctor :   Ok
Doctor :   Actually there are no alternatives for surgery if the case is this severe
User :   ok
Doctor :   The alternatives are only in the early stages
User :   you mean to say this is the case where in we cannot avoid surgery
Doctor :   THere is no need for other investigation if
Doctor :   she has such pain , just
Doctor :   go for surgery
User :   ok
Doctor :   If you want to take a second opinion
Doctor :   You can go for it so that your mother becomes mentally prepared meantime
User :   ok
User :   atleast will she be releived from tha pain
Doctor :   She could be more convinced if one more surgeon
Doctor :   explains her
Doctor :   YEs she will be relieved of pain
User :   ok
User :   Sir may i kow ur name
Doctor :   provided the4 physiotherapy is rightly initiated
Doctor :   at correct time after the surgery
User :   if its is not violating ur rules
Doctor :   Yes I am Drxxxx
Doctor :   ok
User :   Thank you very much Doctor
User :   i shall start convincing and mentally prepare my mother for the surgery
Doctor :   ok
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