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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for pain in the lower back radiating to the lower limbs

Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Posted on Thu, 1 Sep 2016 in Brain and Spine
Question: My y wife shows its demineshed disc space at L5/S1, spina bifida of S1
doctor
Answered by Dr. Neeraj Kumar 19 minutes later
Brief Answer:
Possibility of lumbosacral radiculopathy

Detailed Answer:
Hello,
I have gone through your question and understand your concerns for your wife.

Low back pain with radiation to lower limbs need investigation and management accordingly.

Is there any radiation to lower limbs?
Any motor weakness, sensory loss or urinary complains?
Any history of trauma?

The X-ray findings of spina bifida is showing the bony abnormalities which may have developed and present since birth.

It is common finding and may not be associated with any other problems.
Reduced disc space needs evaluation by doing a MRI.
You can provide more details regarding symptoms.
She should continue taking the calcium and vitamin D supplementation.
Pregabalin, Gabapentin or Amitryptiline can be taken for pain radiation.
If needed pain killers with muscle relaxant like Etoricoxib or Aceclofenac with Thiocholchicoside or Tizanidine can be taken.
Please get back with MRI.

Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Neeraj Kumar 17 minutes later
Yes she got urinate problem since many years, she cant pray namaz while standing or seated much also when give little pressue by bending etc.
doctor
Answered by Dr. Neeraj Kumar 3 minutes later
Brief Answer:
Get MRI of lumbosacral region

Detailed Answer:
Hello,

Yes, these are symptoms associated with lumbar spine problem and in view of spina bifida, MRI should be done of lumbo-sacral region.

Visit and examination by neurologist and treatment accordingly may be done.

Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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