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Suggest Treatment For Degenerative Spondylosis & Disc Disease In Lumbar Spine

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Posted on Mon, 26 May 2014
Question: in my mri report dr. opinion is LUMBAR SPONDYLOSIS WITH SCOLIOSIS AND DIFUSE OF L4-5.-----give me suggession what i should do now.
doctor
Answered by Dr. Saurabh Gupta (51 minutes later)
Brief Answer:
Description below.

Detailed Answer:
Hello,
Thanks for your query.

As per your attached report, You have degenerative spondylosis & disc disease in lumbar spine.
It occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.
For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc.
- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc
- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.
- Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain.

I do hope that you have found something helpful and I will be glad to answer any further query.

Take care

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Saurabh Gupta (4 hours later)
what should be my diet sir
is any chance of surgery is possible
doctor
Answered by Dr. Saurabh Gupta (10 hours later)
Brief Answer:
Description below.

Detailed Answer:
Hello,

Eat a diet rich in fresh fruits and green leafy vegetables, nuts, milk, eggs, pulses and cereals. Drink 1-2 litres of water daily. Do brisk walking exercise for 40 minutes daily. Get 6-8 hours of refreshing sleep daily.

If you don’t get better with these treatment , another option is surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms.

Wishing you speedy recovery...

Warm regards.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Saurabh Gupta (13 hours later)
thank you sir. i am feeling some relief.
doctor
Answered by Dr. Saurabh Gupta (33 hours later)
Brief Answer:
I will appreciate your review about this service.

Detailed Answer:
Hi,
I am glad to know that I could address your concern .
Hope this discussion was useful. You can close the discussion if you have no further query. I will appreciate your review about this service.

Warm regards.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Saurabh Gupta (26 hours later)
Dr. A.K.Pandey of swamy vivekanand polyclinic lucknow prescribed following medicine
1-Tab acunac-p thrice for 5 day and twice for 25 days
2-cap myoset thrice for 10 day and twice for 20 days
3-cap Drovin Forte twice for 30 days
5-cap Lycoyat twice for 30 days
6-tab yzol-40 twice for 30 days
7-cap Drucal Forte-CZ twice for 30 days
but he did not eager to answer about diet exercise etc. thanks to you sir to give your valuable suggestion. Is all the medicine mentioned above may fulfill my requirements. Actually i am govt. employee working as inspector in post office and the above hospital come under CGHS so i preferred there.
doctor
Answered by Dr. Saurabh Gupta (2 days later)
Brief Answer:
These may fulfil your requirements.

Detailed Answer:
Hello sir,

Sorry for late reply.

Your prescribed medicines are correct and may fulfill your requirements. Beside these medicines, you have to do regular back exercises to strengthen your back.

Wishing you speeddy recovery.

Warm regards.


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

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Saurabh Gupta

Orthopaedic Surgeon, Joint Replacement

Practicing since :2004

Answered : 5930 Questions

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Suggest Treatment For Degenerative Spondylosis & Disc Disease In Lumbar Spine

Brief Answer: Description below. Detailed Answer: Hello, Thanks for your query. As per your attached report, You have degenerative spondylosis & disc disease in lumbar spine. It occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc. - Maintain optimum body weight,if you are obese - Avoid lifting heavy weights as it imparts more strain on your back - Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed. - Use a lumbosacral back support to stabilize your spinal muscles - Intermittent pelvic traction might be helpful to cause a regression of the protruded disc - After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery. - Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain. I do hope that you have found something helpful and I will be glad to answer any further query. Take care