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Suggest An Alternative Of Operation For L5 And L4

Posted on Tue, 25 Mar 2014

Question: Dear sir, please find the attachment oF MRI report. kindly suggest

Answered by Dr. Dr. Alokkalyani (44 minutes later)

Brief Answer: nothing Detailed Answer: Hi I m dr Alok, pleased to answer your health related queries First of all, being a clinician, I would like to know why you went for MRI, means what are your complaints? Probably you have back pain, but your MRI report is totally nonspecific. This picture can be found in any person above 30-35 years of age. I want to know your problem? If you can tell in detail I will be better able to help. Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Alokkalyani (1 hour later)

I am suffering from back pain from last 1 month and MRI is done for sciatica and doctor is suggesting operation for L5 & L4 as u can see in report for the same. i want to know is there any other option available becz my age is 33 and i dont want to operate my spine. is any other information u need pls. let me know

Answered by Dr. Dr. Alokkalyani (45 minutes later)

Brief Answer: no need for surgery at present Detailed Answer: Hi This finding is very common and L4-5 vertebra is commonly involve. But this does not mean that every one is required surgery. You need to be evaluated clinically by a competent physician (rheumatologist or neurologist) to find out the extent of illness. MRI is just for help, not for the plan for surgery. First I would like to find out whether your back pain is related to MRI finding or not. If mri finding is consistant to your back pain, then, being a rheumatologist , I would like to prescribed you physiotherapy and medicines and wait to see the response If not improved, again, injection at diseased site may be a option

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Alokkalyani (37 minutes later)

sir i cant seat on chair more than 10 -15 mins. pain is too much neither i am able to seat nor stand. and my job is seating job wht should i do now in this condition. kindly suggest for urgent soluton .

Answered by Dr. Dr. Alokkalyani (8 hours later)

Brief Answer: see a neurologist or rheumatologist Detailed Answer: Does your pain spread to legs also? If yes, then it is rediculopathy, medical treatment is available. If pain is not spread, remains there, even then muscle relaxants can help. I advice you to see a neurologist or rheumatolologist as soon as possible. I am sure you will have a solution to this problem after the consultation. Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Alokkalyani (3 hours later)

yes I have pain in my right leg &it is too much even my right leg is getting less sensitive . I have consulted with neuro. he only suggested for operation.

Answered by Dr. Dr. Alokkalyani (11 minutes later)

Brief Answer: take a second opinion Detailed Answer: Hi Have you seen a neurosurgeon or neurophysician? See a neurophysician, if not. I also want to take two opinion before proceeding to surgery Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Alokkalyani (45 minutes later)

its neuro surgeon

Answered by Dr. Dr. Alokkalyani (7 minutes later)

Brief Answer: see a neurophysician or rheumatologist Detailed Answer: Hi As I told you earlier, you need to see a neurophysician or rheumatologist. Surgeon have high tendency for surgery...

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad