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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Cure For Lower Back Pain And Right Sided Leg Pain

I have been having low back pain for afew years with pain down my rt leg and heel pain i had an mri 2 wweks ago l3l4 l lateral disc protrsion extending into the neural foramen l4l5 diffuse disc bulge a small central extrusion which has an annular tear l5 si l para centtral disc protrsion . having difficuculty walking for any lenght of time and also going up stsirs what shoul i do
Mon, 9 Mar 2020
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General Surgeon 's  Response
Hello,

As per my clinical experience, the narrated symptoms of lower back pain with radiation to lower leg and activity restriction is suggestive of sciatica due to nerve compression at L 3 and L 4 vertebra levels. Primary concern would be:
- Assisted physiotherapy
- Postural adaptations and maneuvers
- Control of body weight if BMI above 25
- Steroid shots if severe pain
- Analgesic and anti inflammatory medicines
- Regular physician visit for follow up

Later on depending upon the recovery, surgery may or may not be required for nerve decompression through stereo-tactic approach.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Cure For Lower Back Pain And Right Sided Leg Pain

Hello, As per my clinical experience, the narrated symptoms of lower back pain with radiation to lower leg and activity restriction is suggestive of sciatica due to nerve compression at L 3 and L 4 vertebra levels. Primary concern would be: - Assisted physiotherapy - Postural adaptations and maneuvers - Control of body weight if BMI above 25 - Steroid shots if severe pain - Analgesic and anti inflammatory medicines - Regular physician visit for follow up Later on depending upon the recovery, surgery may or may not be required for nerve decompression through stereo-tactic approach. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon