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Lower Back pain,advice for spinal surgery - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   hi sir,i have got a lower back problem at L4 and L5.and my disc diameter has gone to 10.2mm...
User :   hello sir
User :   hello
User :   i am Dr... here
User :   sir i have got a back problem
User :   ok
User :   so since when are you having this back problem ?
User :   for past 7 years....
User :   i will give my observation after my mri report
User :   ok
User :   may i know your age ?
User :   bilateral spondylolosthesis of L4 over L5 seen
User :   22\
User :   how did the pain first started ?
User :   doctors told me its frm my birth
User :   disruption odf opposing end plate of lumbar vertrebrae with intra end plate nuclera herniation could represrenr schmorls node formation
User :   i see
User :   so are you taking any medications ?
User :   rite now doctors have advised me to go for bed rest
User :   The first and foremost remedy to cure lower back pain is rest.
User :   thast correct
User :   my bony spinal canal level at L4-L5 is 10.2 mm
User :   i got this pain by 2002
User :   and by 2006 i was normal....
User :   i would advise you should lie down on the floor, with one pillow under your head and one under your knees. This helps reliving the pressure and weight of your back
User :   but i again i got the pain
User :   also small basic exercise like you can also try another posture in the same position. Lie on your back on the floor, with one pillow under your head.
User :   doctors have advised for a surgery ...?
User :   Place your feet on the chair, bending your knees and hips. This posture also helps to release the pressure
User :   surgery is considered the last resort if everything else fails
User :   do you exercise regularly ?
User :   there is also a disruption of opposing end plate of lumbar vertrebrae with intra end plate nuclear herniation
User :   i had stopped by 2006....
User :   you should exercise regularly
User :   doctors told u got to go for epidurmal steriod treatment
User :   ya will
User :   for increasing the diameter of disc which is protuding outside and its 10.22
User :   you wont believe how much wonders in can do for your body esp back problems as it makes your muscles in the back strong and less stress comes on your back
User :   i dint get u sir..
User :   i am stressing for you the need to exercise which you will benefit a lot
User :   surgery is considered a last option
User :   ya i did..
User :   but doctors told its not curable without the surgery....
User :   they told me two rods will be inserted with a titanium screw
User :   is its affecting your daily life style ?
User :   ya.....
User :   sometime my back goes worse and i find problem to move here and there
User :   i can understand your problem
User :   sir is epidurmal injection good?
User :   will that reduce imflammation?
User :   and you would be requiring a complete physical examination in order to access if the only option you have is surgery
User :   the injection will only subside the pain and not the cause
User :   and regarding the diameter of my bony spinal canal...?
User :   is 10.2 mm of L4 and L5 very less?
User :   if the doctor has recommended only surgery as the option for you then it should be done after assessing a complete physical examination
User :   kkk....
User :   actually i am worried of going for surgery at this age
User :   i can understand your anxiety but surgery if recommended do also have positive results
User :   my prob is a minor or major one
User :   the extent of your problem can be assessed after doing a complete physical examination so that we can see how much movement you have without pain
User :   is 10.2 mm worse at L4 and L5?
User :   hello
User :   In certain cases, surgery can significantly help back pain sufferers. For many, it can completely abolish the pain; for others, it can greatly reducing the level of pain suffered daily. But surgery is always a last resort, offered when conservative treatments have failed
User :   yes i am here was replying to your query
User :   10.2 mm worse at L4 and L5
User :   doctors told me there are two problems at yourback?
User :   what did your doctor said ?
User :   the one is there is gap at L4 and L5 and other is protruding disc where two bone are hitting each other
User :   ok well this does comes as a case where surgery will benefit you
User :   doctors also told that this problem has been from birth....
User :   it could be
User :   what is the alternative solution for this if u could suggest?
User :   sure
User :   i can advise you few tips you can do to help you ease the pain
User :   ya sure sir
User :   include garlic in your daily diet
User :   massage with eucalyptus oil
User :   sleep on a firm mattress
User :   Don't lift by bending over.
User :   k
User :   so sir with problem should i go for swimming
User :   yes its a excellent exercise
User :   and regarding diet
User :   ?
User :   eat a balanced diet with lots of fruits and vegetables
User :   green vegetables are good
User :   rice?
User :   rice?
User :   yeah you can have all types of food in moderation
User :   k
Doctor :   Hi
Doctor :   Dr karthik here
User :   hello
User :   can continue proceeding with...
Doctor :   Its ok i am able go through your chat history
User :   k
User :   so u have gone thru my probm?
Doctor :   yes
Doctor :   You were discussing regarding diet
Doctor :   did you follow till then
User :   yes...?
User :   no.....
User :   i used to have like anythng
User :   i am a pure vegetaria
Doctor :   Ok
Doctor :   See its always better to have a balanced and rich in nutrition diet
User :   what do u feel abt surgery?
Doctor :   You will not require it as such now
Doctor :   Since there are remedies
User :   sir can i know frm where are u speakinh?
User :   i am facng since 7 yrs
Doctor :   Physical excercises and physiotherapy will help you
Doctor :   Ok
User :   k
Doctor :   Did you follow up with any physiotherapist
User :   sir can tell me which is the best orthopedic at ....
User :   ?
User :   i did till 2006
Doctor :   ok
User :   after that i was fine...
Doctor :   I will also suggest yoy have an second opnion before surgery
User :   and if in ... u can tell me?
Doctor :   Because there is always a chance avoid surgery at young ages
User :   ya....
User :   thats rite
User :   kk.
User :   k
Doctor :   dont make up mind for surgery
Doctor :   PLz have an second opnion from a senior consultant
Doctor :   he might sure have an alternative
User :   doctors told that if u dont go for surgery your problem will get worse?
User :   he just told surgery is the only remedy
Doctor :   The condition of back is very fragile think twicw before surgery
User :   k
Doctor :   Its got it own risks
User :   like?
Doctor :   You may develop weakness following surgery
User :   doctors told that there willl two rods placed
Doctor :   Yes
User :   with a titaniuwm screw?
Doctor :   But spine surgery has got its limitations unless performed by the best
User :   can the situation got worse if i dont opt for surgery
Doctor :   The screw will not matter the surgeon matters
User :   k
Doctor :   I am just warning you not stopping you from surgery
Doctor :   since you can overcome by changing your lifestyle and physical works
Doctor :   And its possible for your age
User :   k
Doctor :   I would suggest you to postpone till you can mange
Doctor :   When things gop uncontrollable or unbearable then the last option will be surgery
User :   my doctors told that if u dont operate within 12 month....u r situation can get worse
User :   is that true?
Doctor :   When was your recent MRI done
User :   three days bacj
Doctor :   Depends on your adaptability
Doctor :   Ok
Doctor :   did you take a second opnion for the same
User :   in the sense?
Doctor :   Through different radiologist
User :   no
Doctor :   If you can do take one
User :   k
Doctor :   Is there anything else i can help you with?
User :   walking will help me out?
Doctor :   yes
User :   what abt the belt which doctor has given me
User :   ?
Doctor :   That gives you support prventing further injury or disc slip
User :   in what way belt will help me out?
User :   but i find prob to my stomach
Doctor :   You should get adjusted to it
User :   k
Doctor :   thats the only alternative
User :   i am using for 7 yrs
Doctor :   Your condition will neeed it
User :   there are rashes at my back
Doctor :   There are patients using for more than 15 years
Doctor :   remove for while inbetween
Doctor :   And during sleep you can remove
Doctor :   When there are rashes use sothening lotions
Doctor :   Use a cloth and then a belt above that
Doctor :   Thanks for consulting me
Doctor :   Bye for now
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