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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Neurokem M And LS Belt The Right Treatment For Spondylolisthesis?

Hello Doctor, I had MRI done last week and here is the impressions written by Radiologist.
1. Spondylolisthesis of L5 over S1 Vertebrae due to bilateral L5 Pars interarticularis Lysis coupled with Disc annular bulge, causing bilateral L5 neural compromises.
2. L4-5 Disc annular bulge with superadded broad based Eccentric herniation, causing asymmetrical thecal and bilateral L5 neural compromises, right side more than left
3. Lumbar facet joint synovitis.

Doctor has advised to take Tab. Neurokem-M 75 Mg 1-0-1x2 weeks, wearing LS belt for a 2 weeks and Physiotheraphy (TENS).
Please provide your advice / inputs.
Mon, 12 Jan 2015
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Neurologist 's  Response
I read your query and I understand your concern.

When it comes to conservative non invasive treatment that regimen seems appropriate, perhaps I would have added a non steroidal anti-inflammatory drug like Ibuprofen for pain and inflammation (unless there are other conditions which make it contraindicated).
If the symptoms persist over several weeks then more invasive approaches like local injections with steroids and anesthetics or surgery might be considered.
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Is Neurokem M And LS Belt The Right Treatment For Spondylolisthesis?

I read your query and I understand your concern. When it comes to conservative non invasive treatment that regimen seems appropriate, perhaps I would have added a non steroidal anti-inflammatory drug like Ibuprofen for pain and inflammation (unless there are other conditions which make it contraindicated). If the symptoms persist over several weeks then more invasive approaches like local injections with steroids and anesthetics or surgery might be considered.