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

Have pain in leg after standing for a long time. Have big medical history. All tests done. What to do?

Dear Doctor,
After standing for more than 10 minutes I feel pain in my left leg starting starting from my lower muscular portion spreading upwards & need immediate sitting. The same thing happens after I walk for say 20 minutes.
I am 67 years old, type-II diabetic & on oral medicine. Latest Hb1c reading being 7.2 (Daily Dose being :Metforminhydrochl 1.850, Glimperide 7mg, Pioglitazone 15, Sitagliptine 100)
My MRI report is as under:
Grade I anterolisthesis of L4 over L5 with L4-5 diffuse annular disc pseudo-bulge extending into bilateral neural foramen causing moderate impression on thecal sac & bilateral traversing nerve roots(Lt>Rt).

Diffuse annular disc bulge with partial extension into left neural foramen at L3-4 level causing mild to moderate impression on thecal sac & left traversing nerve roots.
Diffuse central disc bulge at C3-4, C4-5, C5-6 & C6-7 levels with mild impression on thecal sac.
Grateful for your considered opinion on:
1. is it necessary to undergo surgery?
2. Is the surgery safe without any threat of being cripled after surgery?
3. Can I pull on with exercise & oral medication without surgery?
4. your suggestion
Asked On : Thu, 4 Apr 2013
Answers:  1 Views:  36
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM. The description suggests that you have Lumbar disc disease with radiculopathy and neurogenic claudication. The initial management for this problem would be :
- Bed rest
- Pain medications
- Oral / I.M. Methylcobalamine preparations
- Lumbar back support
- Avoiding forward bending
If all the above measures fail to provide relief for you within 6 weeks, then undergoing surgery would be an option.
Considering your age and medical comorbidities ( Diabetes ), the chances of getting complications will be higher than a normal person. The only feared complication would be wound infection leading to Post operative "Discitis" which is really troublesome to treat. Consult a good spine surgeon with a good track record and follow his advise. Hope this helps
Answered: Mon, 29 Apr 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
 

 

Loading Online Doctors....
©2014 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