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Traction treatment, severe pain, gait changes, types of rehab for crushed I5 ?

what types of rehab are adequate for a crushed l5? I am seeing a Chiropractor and he is treating me with traction, this eases the pain significantly...I wish i could keep doing this but financially it all adds up. I have severe pain constantly and would like a home remedy . I tried yoga , but the bending forward does not work at all for me--too painful!! I know i need to go in when my legs and my gait change... I would love to be pain free!!
Asked On : Mon, 14 May 2012
Answers:  2 Views:  58
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Orthopaedic Surgeon 's  Response
1. Wedge compression fractures of vertebra can be managed conservatively or surgically.
2. If there are no symptoms like tingling or numbness or weakness in your legs then you can go for conservative treatment. Conservative treatment requires strict bed rest on hard surface +/- traction for minimum 3 weeks. For having your meals you can sit upto 30 degree for say 10 mins. All toilet habits should be carried out in bed. Care of back with prevention of bed sore takes priority. If you want to turn to your side, you are not supposed to do it by yourself. Rather you should be log rolled with help of 2 persons. Once the pain decreased by 3 weeks you can start standing with limited sitting activities and then gradually getting into your day-to-day activities.
3. Surgery is indicated if there is any associated neurological complications or when early mobilisation of the patients takes priorty. Soon after surgery, patient will be able to sit, walk and do his routine activities.
4. Applying ointments, massage, hot fomentation might compromise the health of your skin over the spine. They might aggravate muscular spasms also.
Answered: Mon, 14 May 2012
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Ayurveda Specialist Dr. Munish Sood's  Response
1. it seems that it is L5 (lumbar vertebrae 5) as opposed to 15.

2. you haven't mentioned about your age and sex, since in females secondary Osteoporosis also has to be taken into account while managing rehab.

3. any features of tingling or numbness in legs,bladder bowel dysfunction??, this will cause thigh and leg pain if 'STENOSIS' is there,due to venous stasis in the spine causing congestion in the nerve roots and causing Sciatica Pain, thus treatment should also touch the sciatica part.

4. because compression # is there, bed rest is must BUT make sure you change position after 1-2 hours to prevent bed sores.(seek assistance/help of others)

5. encourage deep breathing to prevent pneumonia.

6. feeding should be done in sitting position and by self.

7. take protein supplements and avoid food which causes diarrhea.

8. sponge yourself every day with a wet towel followed by dry towel, followed by eau-de-colone and talcum powder and move all the limb joints through full range motion. (if possible)

9. You can consult for Posterior surgery with your doctor, lately.
Answered: Wed, 10 Apr 2013
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