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Suggest Treatment For Severe Nerve Pain After A Left-sided Paralysis

Posted on Thu, 14 Jan 2016

Question: My Father has got paralysis 2 years back for his left hand and left leg. He has gone under severe treatment for 10 days in Tirumala hospital, XXXXXXX (Andhra Pradesh). He has got scissors in middle twice (1 yr back), He is able to walk now and able to do his basic things on his own now, but facing some severe nerve pain often. I am attaching his reports, kindly suggest whether his medication is proper or he needs some more treatment.

Answered by Dr. Ajay Panwar (23 minutes later)

Brief Answer:
Please tell some details about pain.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I have gone through your father's detailed medical history,treatment history and MRI reports as attached.

Medicines prescribed are fine,as per protocol.He should continue with the same medicines.At the same time,physiotherapy has an important role to play.

Regarding nerve pain,I would like to know some extra details-
1)In which part of the body is he having pain?
2)Since when?
3)Is it persistent or improves intermittently?
4)What factors worsen and improve it?

Further,is he a Diabetic or having any other disease except stroke and seizures as mentioned?

I shall be looking forward to your follow-up query with details.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (28 minutes later)

Hi Dr. XXXXXXX

Thanks for the update. Please fin my answers in line.

Regarding nerve pain,I would like to know some extra details-
1)In which part of the body is he having pain?
-- he is getting severe pain at thighs and some times at the below back bone - for that we have gone for SPINAL MRI scan.
2)Since when?
-- Since 1 year
3)Is it persistent or improves intermittently?
-- Most of the times it is consistent during late night and early morning times.
4)What factors worsen and improve it?
-- using GEBAPIN solved his dumbness some how, but not completely.

Answered by Dr. Ajay Panwar (2 hours later)

Brief Answer:
Continue medicines/Calcium-vitamin D/Methylcobalamin/Spine surgeon consult.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.

I made a point about right paracentral annular tear at L5-S1 disc.Along with,the report also mentions of L4-L5 disc bulge with thecal indentation.

I suggest that spine surgeon's opinion should be taken for annular tear at L5-S1.
Further,same medicines should be continued along with calcium/vitamin D and methylcobalamin supplementation.

You also need to discuss with a doctor specializing in Physical rehabilitation about the specific exercises,your father should do to fasten the recovery process for annular tear.It should be an integrated approach of your spine surgeon and physical therapist.

If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar