What Does This MRI Report Indicate?
I couldn't attach my MRI reports in my previous thread and therefore creating new discussion to seek opinion about my lower back pain
L2-L3 and L5-S1 disc extrusion.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being in follow-up.
I have gone through the attachments which you have uploaded.
L2-L3 disc extrusion with superior migration and L5-S1 disc bulge are significant findings.
I would suggest you to start on a prescription typically like-
1)Tab Etoshine-MR 1 tab twice a day(after meals)
2)Tab Pantocid 40 mg once a day(empty stomach)
3)Tab Maxmala forte 1 tab per day
4)Tab Symbal 60 mg once a day
5)Tab Gemcal once a day
Along with spinal exercises will help.Please visit a physiotherapist.A neurosurgeon's opinion should be taken as well, especially for L2-L3.
PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE ONLY.
Hope that helps.If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Thank you for your speedy responses. What could be the reason for significant bulge ? On sept 09th - I suddenly bend forwarded to empty the bucket (with only half amount of water) in the bathroom and I heard a click sound in my back..... was that a bulge ?
Was my back really not strength enough at that time, sound bend could be a reason
Last but not least - what is my stage (grade) of spinal cord. Can this be cured without any surgeries and what could be treatment duration to be fit enough as normal person
I have already contacted Physiotherpist for 3 weeks treatmen and he has started LFT t
Tell me a few details.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being in follow-up.
I would like to know-
1)Do you have any weakness of strength in upper or lower extremities?Any weakness of hands or grip of feet on slippers?Any difficulty in rising from the sitting position?
2)Do you have any difficulty in passing urine?
I shall be glad to have you in follow-up with details.
Regards
Dr.Ajay Panwar
MD,DM(Neurology)
I get strained when I sit for long time or stand for long time
Since 3 days - I have numbness in my legs,
and suddenly my legs shake automatically in deep sleep
Otherwise sleep is good during night times, if i bend in wrong posture or bend for more than 30 sec - ther is mild nerve pain
Overall, can feel that - some nerves are putting strain/compressin pains in my back (all locations)
I can feel like, there are XXXXXXX which feel like they are in my back
There is no pain while urination (all my CBP, Urine reports) are fine
Please let me know - what is my stage or will i ever recover to normal life style ?
I am feeling nervous/sad, only 37 yrs old with one son and few responsibilities with my family
I in depression and you are the only hope for my recovery, infact I will be in touch with you continuously until I get back to my normal life. Please sir ! I am in nervous and worried about my back pain.
This morning, I have finally visited the XXXXXXX Neurologist (Dr XXXXXXX Kumar) in Apollo XXXXXXX and I have shown all my reports to him. He has given an prescription(medicines) - please see my latest attachment (IMG_7644.JPG)
Please let me know - what is my stage and will I ever be come to my normal lifestyle ?
What does myeli trans capsule consists of?
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being in follow-up.
I understand your concerns and I shall try to help you at my best.Don't feel so hopeless.
What is 'capsule myeli trans' as advised by Dr. XXXXXXX XXXXXXX is composed of?
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
I am not sure about this capsule, but I am trusting him and already started taking this tablet.
Do you want me to take your capsules which you mentioned in above thread ?
1)Tab Etoshine-MR 1 tab twice a day(after meals)
2)Tab Pantocid 40 mg once a day(empty stomach)
3)Tab Maxmala forte 1 tab per day
4)Tab Symbal 60 mg once a day
5)Tab Gemcal once a day
The only good thing in my situation is, I am able to walk, do my work slowly at office, travelling to home and always using cabs (instead of driving by my own)
Can you please let me know - what is my stage and what are chances to improve to normal life ?
You can just read the composition on the strip.
Detailed Answer:
Hi XXXXXXX XXXXX,
Thanks for being in follow-up.
As I said, please read on the capsules strip. Further, you can start the above prescription however, if you are taking gabapin,then don't take maxmala forte(take either of the two).Rest of the medicines, you should take and let me know how you respond in 5 days.
Response to medicines will actually guide regarding the further course.It is not a tumor where we can tell the stage.Its about whether symptoms are responding to medicines or not.I hope to see you improving soon.
Learn spinal exercises from a good physiotherapist.
Hope that helps.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
I have attached the Myleitrans capsule formulae, please have look into it.
I have also met spine surgeon who asked me to take Myotop 450 SR
So overall, I am consuming 3 tablets including Gabapin, Myletrans. Based on these tablets, please let me know which amongst your tablets should I additionally take
Finally, if your are based in XXXXXXX - shall I try to meet you in person ?
Please find the sample prescription here.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being in follow-up.
I have seen the further attachments. In addition to above 3 medicines, take these medicines for 5 days and let me know the response.I am based at XXXXXXX
1)Tab Etoshine-MR 1 tab twice a day(after meals)
2)Tab Pantocid 40 mg once a day(empty stomach)
3)Tab Symbal 60 mg once a day
4)Tab Gemcal once a day
But as I said, this is a sample prescription.TAKE MEDICINES UNDER GUIDANCE.
Regards,
Dr.Ajay Panwar
MD,DM(Neurology)