Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
133 Doctors are Online

X-ray shows rotoscoliosis, spondyloisthesis, degenerative disc disease. Cannot walk, heaviness in legs. Explain

DOCTOR OF THE MONTH - Nov 2013
Nov 2013
User rating for this question
Very Good
Answered by

Neurologist
Practicing since : 1994
Answered : 5437 Questions
Question
my xrays show ROTOSCOLIOSIS, GRADE 1 ANTERIOR SPONDYLOISTHESIS L-3-l4,DUE TO FACET ARTHROPATHY
DEGENERATIVE DISC DISEASE L3-L4
C4-C5 C5 C6 REDUCTION IN SPACE DISCOPATHY SHOULD BE CONSIDERED
DISK PROTRYSION L3 DOES NOT XXXXXXX THE L3 NERVE EXITING

AND THE OTHER DAY I FOUND I COULD NOT WALK MY LEGS FELT LIKE THEY WEIGHED A TON AND WOBLED I WAS WALKING LIKE I PASLEY

CAN YOU ENLIGHTEN ME
XXXXXXX
Posted Thu, 6 Sep 2012 in X-ray, Lab tests and Scans
 
 
Answered by Dr. Sudhir Kumar 10 hours later
Hi XXXXXXX

Thank you for writing in.

The report sent by you describes the findings on X-rays of lumbar region (lower back) and cervical region (neck). Findings have mainly included reduction in disc spaces. This could imply disc bulge or prolapse. If the disc bulge is more severe, it can press on the cervical and lumbar nerves (these nerves start from the neck and lower back respectively and supply the arm and leg muscles). The common complaints could be pain in the arms or legs, weakness of arm or leg muscles and numbness.

Further evaluation would require MRI scan of cervical and lumbar spine, which would show these findings in detail, and help in deciding the best treatment.

At this stage, treatment would require:

1. Medications to relieve pain,
2. Physiotherapy- to relieve pain and strengthen the muscles of neck and back

Please consult a neurologist/neurosurgeon for further treatment.

Please get back if you have any more queries.

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Health City, Hyderabad
Above answer was peer-reviewed by
 
Follow-up: X-ray shows rotoscoliosis, spondyloisthesis, degenerative disc disease. Cannot walk, heaviness in legs. Explain 11 hours later
this is the most recent withib last 30 days report the neurologist i saw said maybe decompression but no promises, what concerns me is the sudden onset of my legs and not being able to walk normal is the back problems causing this i have had 4 mri in the last 10 years and they have progressed to tthese problems
one other thing severe edema to the point if i am on my feet for more than 1 hour they can swell to were i have to use a cane just to get up and go to the restroom

XXXXXXX
 
 
Answered by Dr. Sudhir Kumar 3 hours later
Hi XXXXXXX
Thank you for getting back with more details. If the compression on the cervical or lumbar nerves or spinal cord is severe, it can result in weakness and numbness of arms and legs. Legs may feel heavy like a log of wood and it hampers with many activities such as walking, getting up from squatting position, etc. MRI can clearly show the extent and severity of nerve or spinal cord compression. The neurologist who has examined you is the best person to judge regarding the need for decompression surgery. Many people do improve with surgery. Surgery is likely to benefit most if done early during the course of illness (before the weakness is too severe and urinary symptoms are absent).
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Health City, Hyderabad.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Treatment/Therapy
Medical Topics

The user accepted the expert's answer

Ask a Radiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor