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Dr. Andrew Rynne

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Herniated Disc, Annular Tear. Sciatic Pain. On PT. Recommendations?

I have a herniated disc fragment on right L5-S1 with moderate mass effect and associated lateralizing annular tear as well. Back pain after a rear end wreck st high speed- have been going to PT for 6 weeks with some improvement in sciatic pain until I had to sit for several hours at a conference. What plan would you recommend ?
Mon, 27 May 2013
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Neurologist 's  Response
Hi,
You have L5-S1 disc mainly in R) side producing sciatica.

Continue with physiotherapy as planned

You need to use lumbosacral belt for next 6 months.

Avoid forward bending and lifting objects

You also require neuralgic drugs pregabalin 75 mg once daily for neuralgic pain

Also have methycobal and calcium supplements

If symptoms persists you need to consult neurologist/Neurosurgeon to deceide regarding further plan of treatment .

Hope this will help you

Regards

Dr Sandhya Manorenj
Neurologist
Hi tech city ,Hyderabad

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Herniated Disc, Annular Tear. Sciatic Pain. On PT. Recommendations?

Hi, You have L5-S1 disc mainly in R) side producing sciatica. Continue with physiotherapy as planned You need to use lumbosacral belt for next 6 months. Avoid forward bending and lifting objects You also require neuralgic drugs pregabalin 75 mg once daily for neuralgic pain Also have methycobal and calcium supplements If symptoms persists you need to consult neurologist/Neurosurgeon to deceide regarding further plan of treatment . Hope this will help you Regards Dr Sandhya Manorenj Neurologist Hi tech city ,Hyderabad