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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spinal Problems In L4-L5 Region. Spine X-ray Done. Cure For Condition?

I am having L4 L5 spine problem. I showed few very renowned neurologists of XXXXX. I am very much upset to state that none of them checked me thoroughly, nor checked the reports, x ray etc properly. Inspite of my paying them their very handsome fee they make me feel that they have hardly enough time to hear my problems. God bless them all.
Wed, 14 Nov 2012
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General & Family Physician 's  Response
Dear Concerned.,


Thanks for writing to us.



The cause of pain in lower back could be due to Radiculopathy/Nerve Root Compression as a result of trauma/bending abruptly/lifting weight/whiplash injury etc leading to displacement of Intervertebral Disc bulge (PIVD-Prolapse intervertebral disc)or Sciatic Nerve root compression also known as Sciatica. The Best Investigative Procedure for confirming the same is an MRI Scan if facilities are available to you.


Kindly follow the undermentioned advice,


a)Use a Hard Bed rest ie., without Cushions for Bed Rest for more than 08 weeks.


b)Pls do not abruptly bend /lift any weight during the above period.


c)Consult a Physiotherapist for Short Wave Diathermy/Traction for the area affected.


d)consult a Medical Doctor especially Neuro/Spine Surgeon for a Prescription Oral Analgesic(Opioid Class) and Muscle relaxant Tab and Sprays for a few days.

e)In addition you may request for a Lumbosacral Belt for your waist size from an Orthopedic Vendor to aid immobilization of affected area during any minimal movements during the acute phase.




Get well soon.


Best Regards,


Dr Lt Cdr ASN Bhushan.







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Spinal Problems In L4-L5 Region. Spine X-ray Done. Cure For Condition?

Dear Concerned., Thanks for writing to us. The cause of pain in lower back could be due to Radiculopathy/Nerve Root Compression as a result of trauma/bending abruptly/lifting weight/whiplash injury etc leading to displacement of Intervertebral Disc bulge (PIVD-Prolapse intervertebral disc)or Sciatic Nerve root compression also known as Sciatica. The Best Investigative Procedure for confirming the same is an MRI Scan if facilities are available to you. Kindly follow the undermentioned advice, a)Use a Hard Bed rest ie., without Cushions for Bed Rest for more than 08 weeks. b)Pls do not abruptly bend /lift any weight during the above period. c)Consult a Physiotherapist for Short Wave Diathermy/Traction for the area affected. d)consult a Medical Doctor especially Neuro/Spine Surgeon for a Prescription Oral Analgesic(Opioid Class) and Muscle relaxant Tab and Sprays for a few days. e)In addition you may request for a Lumbosacral Belt for your waist size from an Orthopedic Vendor to aid immobilization of affected area during any minimal movements during the acute phase. Get well soon. Best Regards, Dr Lt Cdr ASN Bhushan.