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What Does Bilateral L5 Nerve Root Impingement With Severe Unbearable Pain Mean?
Posted on
Wed, 25 Jun 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 25 Jun 2014
Answered on
Tue, 22 Jul 2014
Last reviewed on
Question : I've had 2 surgerys in 2 years.1st fusion of L4/L5. 2nd surgery took screws out and fusion of L4/L3.Now MRI shows impingement on the bilateral descending L5 nerve root . slightly contacting S1 root . schmorl's node anterior superior endplate of L 1 with endplate deformity.
Brief Answer:
Surgery needed.
Detailed Answer:
Hello,
Thanks for posting your query.
You have bilateral L5 nerve root impingement with severe unbearable pain that is not relieved with any medications or steroid injections. This needs a surgical decompression of the exiting nerve roots.
You can start taking methylcobalamin supplements and medicines like pregabalin or gabapentin to help this nerve related pains after consulting your neurosurgeon.
Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for lumbar traction.
Physiotherapy like ultrasound and TENS therapy will also help
I will advise to check your vit B12 and vit D3 levels.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Surgery needed.
Detailed Answer:
Hello,
Thanks for posting your query.
You have bilateral L5 nerve root impingement with severe unbearable pain that is not relieved with any medications or steroid injections. This needs a surgical decompression of the exiting nerve roots.
You can start taking methylcobalamin supplements and medicines like pregabalin or gabapentin to help this nerve related pains after consulting your neurosurgeon.
Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for lumbar traction.
Physiotherapy like ultrasound and TENS therapy will also help
I will advise to check your vit B12 and vit D3 levels.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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