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Herniated disc, annular tear. Sciatic pain. On PT. Recommendations?

I have a herniated disc fragment on right L5-S1 with moderate mass effect and associated lateralizing annular tear as well. Back pain after a rear end wreck st high speed- have been going to PT for 6 weeks with some improvement in sciatic pain until I had to sit for several hours at a conference. What plan would you recommend ?
Asked On : Tue, 16 Apr 2013
Answers:  1 Views:  74
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Neurologist 's  Response
You have L5-S1 disc mainly in R) side producing sciatica.

Continue with physiotherapy as planned

You need to use lumbosacral belt for next 6 months.

Avoid forward bending and lifting objects

You also require neuralgic drugs pregabalin 75 mg once daily for neuralgic pain

Also have methycobal and calcium supplements

If symptoms persists you need to consult neurologist/Neurosurgeon to deceide regarding further plan of treatment .

Hope this will help you


Dr Sandhya Manorenj
Hi tech city ,Hyderabad

Answered: Sun, 26 May 2013
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