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What Does My MRI Scan Report Indicate?
Question: Sir,
My mother underwent laminectomy for spine in july 2014 at kims secunderabd, for LCS,back pain and left leg pain and fitted screws in spine at L3,L4,L5, and did disc exicision at L3,L4,L5. For two months only back pain no left leg nerve pain. but now from 1 month onwards getting heavy back pain, and left thigh to to feet pain. In latest november MRI noticed disc herination problem still at L4-L5,L5-S1 and pinging the nerve root. But doctor saying that as per MRI right side leg should be problem but you are getting left side leg why????. Actually rarely right side leg also pains for some time and goes away. Doctor saying simply psycological problem. but none of the medicines are not working only diclo injection working.
My mother underwent laminectomy for spine in july 2014 at kims secunderabd, for LCS,back pain and left leg pain and fitted screws in spine at L3,L4,L5, and did disc exicision at L3,L4,L5. For two months only back pain no left leg nerve pain. but now from 1 month onwards getting heavy back pain, and left thigh to to feet pain. In latest november MRI noticed disc herination problem still at L4-L5,L5-S1 and pinging the nerve root. But doctor saying that as per MRI right side leg should be problem but you are getting left side leg why????. Actually rarely right side leg also pains for some time and goes away. Doctor saying simply psycological problem. but none of the medicines are not working only diclo injection working.
Brief Answer:
Problem is most probably related to disc prolapse
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your mother's symptoms, past details of medical treatment & surgery and her current symptoms.
Her current left thigh to feet pain is most probably related to disc prolapse and nerve compression. Psychological problem is unlikely to be the root cause of her pain. However, she may be depressed because of pain and relative failure of surgery.
All medications have already been tried such as gabapentin and pregabalin. Some people may also respond to other medications such as prothiaden, amitriptyline and duloxetine.
However, I agree with you that epidural injections may be more preferred in this case.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Problem is most probably related to disc prolapse
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your mother's symptoms, past details of medical treatment & surgery and her current symptoms.
Her current left thigh to feet pain is most probably related to disc prolapse and nerve compression. Psychological problem is unlikely to be the root cause of her pain. However, she may be depressed because of pain and relative failure of surgery.
All medications have already been tried such as gabapentin and pregabalin. Some people may also respond to other medications such as prothiaden, amitriptyline and duloxetine.
However, I agree with you that epidural injections may be more preferred in this case.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you sir for your prompt response,
my query is 1) for multiple disc prolapse and nerve compression is there any successful non surgical treatment or whether epidural injections can be given for "both discs".
please suggest what future action shall i take, and what is your recommendation sir. 2) Is your hospital has these epidural injections facilities under your guidance.
my query is 1) for multiple disc prolapse and nerve compression is there any successful non surgical treatment or whether epidural injections can be given for "both discs".
please suggest what future action shall i take, and what is your recommendation sir. 2) Is your hospital has these epidural injections facilities under your guidance.
Brief Answer:
Epidural injection facilities are available
Detailed Answer:
Thank you for getting back.
1. Non surgical treatment includes medications as listed above, along with physiotherapy. If they fail, then epidural injections are advised.
2. I can suggest the future course of action after seeing her, however, it seems to me that epidural injections would be preferable. These epidural injections can be given at our hospital, by a XXXXXXX anaesthetist.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Epidural injection facilities are available
Detailed Answer:
Thank you for getting back.
1. Non surgical treatment includes medications as listed above, along with physiotherapy. If they fail, then epidural injections are advised.
2. I can suggest the future course of action after seeing her, however, it seems to me that epidural injections would be preferable. These epidural injections can be given at our hospital, by a XXXXXXX anaesthetist.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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