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What causes L5S1 prolapsed disc with severe pain?

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Posted on Mon, 2 Jun 2014
Question: I felt sever backpain for the past 4 month. I have taken physio treatment (Lumbra traction & EFT) contiuously 60 days. but there is no improvement. Then I have tkane MRI, the report says the L5/S1 disc prolapsed severely (9 MM). Now I am planning to go for surgery, another 1 week.. Until I need your advise to control the pain. Hence, I can't able to do any activities (walk/sit/sleep). Please advise any pain killer and sleep table. als your opinion
doctor
Answered by Dr. Dr.praveen kumar nath (1 hour later)
Brief Answer:
L5S1 DISC PROLAPSE FOR SURGERY

Detailed Answer:
Dear Mr XXXXX
Hello
I have gone through your medical history in detail
L5S1 prolapsed disc with severe pain , not relieved with regular analgesics /physiotherapy mostly needs surgical decompression .
You can do following things to get symptomatic relief till then

1. Bed rest

2 Avoid twisting movements at spine level .

3 Try some analgesic like ACECLOFENAC + MUSCLE RELAXANT combination .

4. Add some CHLORDIAZEPOXIDE + AMITRYPTILLIN combination , for symptomatic relief .

5 . I normally prescribe PREGABALIN 75 MG also for few patients

6 Apply some analgesic gels for local application

Hope this relieves your pain symptoms

Wishing you a speedy recovery

Dr XXXXXXX k XXXXXXX
Director
Deptt. of neurosurgery
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.praveen kumar nath (30 minutes later)
Dear Sir,
Thank you very much for your valuable inputs. I am planning to take PREGABALIN 75mg ONLY for my current pain relief. Hope it will ok for me.
now I am taking the below tablets for time being, advied by one of the physician.

Pan40
Oviran 50 or Oltaflam 50.

Is it advisable ..pls provide your advise sir.
Please advise...
Thanks for your valuable timing
doctor
Answered by Dr. Dr.praveen kumar nath (21 hours later)
Brief Answer:
L5S1 DISC PROLAPSE MEDICATION

Detailed Answer:
DEAR Mr XXXXX
Hello
My best wishes for a speedy recovery .
You can continue with PREGALIN 75 MG TWICE DAILY & oltaflam as advised along with complete bed rest for about two weeks .
Apply local analgesic gel also for more relief .

Thanx
Dr Praveen k Nath
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr.praveen kumar nath

Neurologist, Surgical

Practicing since :1996

Answered : 147 Questions

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What causes L5S1 prolapsed disc with severe pain?

Brief Answer: L5S1 DISC PROLAPSE FOR SURGERY Detailed Answer: Dear Mr XXXXX Hello I have gone through your medical history in detail L5S1 prolapsed disc with severe pain , not relieved with regular analgesics /physiotherapy mostly needs surgical decompression . You can do following things to get symptomatic relief till then 1. Bed rest 2 Avoid twisting movements at spine level . 3 Try some analgesic like ACECLOFENAC + MUSCLE RELAXANT combination . 4. Add some CHLORDIAZEPOXIDE + AMITRYPTILLIN combination , for symptomatic relief . 5 . I normally prescribe PREGABALIN 75 MG also for few patients 6 Apply some analgesic gels for local application Hope this relieves your pain symptoms Wishing you a speedy recovery Dr XXXXXXX k XXXXXXX Director Deptt. of neurosurgery