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Question: My Mom is having severe back pain and Periodic Leg Movement (PLMs/PLMw), faces great difficulty in doing her own activities.
Mom is 54, 70Kg, 5’6” feet having hyper-thyroid, diabetes now and had got operated 4 times around 16 years back.
• 2 C-Sections.
• L5 Disc Overlap
o Prolapsed inter vertebral disc
• L5: Lamtnectomy
• L5 – S1: Discectomy
• Malignant ovarian tumor
o Mucinous cystadenoma carcinoma stage 1c.
• Uterus removed
• Chemotherapy 6 dosages.
Current Back pain is due to mild lumbar scoliosis, diffuse osteopenia and few posterior annular disc bulges.
PLMs/PLMw – No Clues yet, But recently become very worst, as there is a frequent leg jerk movement before sleeping and some time while relaxing in the chair. So I feel, this should have worsened the back pain problem, which she had for a while (23 Years, even after spinal operation for disc overlap) now.
Attached the recent MRI – Lumbar Spine report.
Currently Mom is advised to take Rantac 150, Neugaba 75, Zerodol MR and Nucoxoa 60 along with her regular medicines (Glimaday 1mg, Thyroxine 150, Livogen, Tenomac 25, Maxcal).
Am looking for advices around…
1. Can the back pain be rectified without operation? What’s the cause for the back pain? Can it be rectified permanently?
2. What should be done to stop the unconscious jerky leg movement to have the peaceful sleep? Why do my mother get this, what’s the cause? What tests to be done to identify the cause?
3. What should be my next step?
4. Whom do I need to contact Orthopedician, Neurologist, Neurosurgeon?
Mom is 54, 70Kg, 5’6” feet having hyper-thyroid, diabetes now and had got operated 4 times around 16 years back.
• 2 C-Sections.
• L5 Disc Overlap
o Prolapsed inter vertebral disc
• L5: Lamtnectomy
• L5 – S1: Discectomy
• Malignant ovarian tumor
o Mucinous cystadenoma carcinoma stage 1c.
• Uterus removed
• Chemotherapy 6 dosages.
Current Back pain is due to mild lumbar scoliosis, diffuse osteopenia and few posterior annular disc bulges.
PLMs/PLMw – No Clues yet, But recently become very worst, as there is a frequent leg jerk movement before sleeping and some time while relaxing in the chair. So I feel, this should have worsened the back pain problem, which she had for a while (23 Years, even after spinal operation for disc overlap) now.
Attached the recent MRI – Lumbar Spine report.
Currently Mom is advised to take Rantac 150, Neugaba 75, Zerodol MR and Nucoxoa 60 along with her regular medicines (Glimaday 1mg, Thyroxine 150, Livogen, Tenomac 25, Maxcal).
Am looking for advices around…
1. Can the back pain be rectified without operation? What’s the cause for the back pain? Can it be rectified permanently?
2. What should be done to stop the unconscious jerky leg movement to have the peaceful sleep? Why do my mother get this, what’s the cause? What tests to be done to identify the cause?
3. What should be my next step?
4. Whom do I need to contact Orthopedician, Neurologist, Neurosurgeon?
Brief Answer:
Age related degenerative spine changes.
Detailed Answer:
Hello,
Thanks for posting your query.
1. The back pain in your mom is due to degenerative changes of the spine that are related to age and wear and tear. These are gradually progressive changes and with the help of medicines and regular exercise, their progression can be retarded to some extent. In case there is a severe nerve root compression causing a muscle weakness then surgery is the only option.
2. The jerky leg movements are due to compression of L3 nerve root. Regular exercise can help in decreasing the compression to some extent.
3. She is getting the right treatment. Just make her start some physiotherapy exercises so that further progression of the problem can be deteriorated.
4. You need to contact a neurosurgeon regarding this. He can guide you regarding the conservative treatment and the need of surgery.
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
Age related degenerative spine changes.
Detailed Answer:
Hello,
Thanks for posting your query.
1. The back pain in your mom is due to degenerative changes of the spine that are related to age and wear and tear. These are gradually progressive changes and with the help of medicines and regular exercise, their progression can be retarded to some extent. In case there is a severe nerve root compression causing a muscle weakness then surgery is the only option.
2. The jerky leg movements are due to compression of L3 nerve root. Regular exercise can help in decreasing the compression to some extent.
3. She is getting the right treatment. Just make her start some physiotherapy exercises so that further progression of the problem can be deteriorated.
4. You need to contact a neurosurgeon regarding this. He can guide you regarding the conservative treatment and the need of surgery.
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
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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