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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Severe Back Pain. Have No Reflection On The Knee, Foot. Have Right Lateral Disc Herniation. Treatment?

I am 25 years old, I have back pain it's too strong and especially my right leg towards the foot. I have no reflection on the knee and the foot.
the MRI report says:
-Large central and right lateral disc herniation at L3-L4 with severe impingement on the thecal sac. the disc herniation extends inferiorly on the right side into the right lateral recess where there is also impingement on the right L4 nerve root. there is severe compression of the thecal sac.

-Small central disc herniation at L4-L5 with mild on the anterior aspect of the thecal sac. there is mild to moderate central spinal stenosis present at the level with a contribution given by the facet joint osteoarthritis that is present.

-Central and right lateral disc herniation at L5-S1 moderately impinging on the thecal sac. the disc herniation also extends inferiorly into the right lateral recess where there is impingement on the right S1 nerve root.
Sat, 25 May 2013
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Orthopaedic Surgeon 's  Response
hallo dear friend ,thanks for writing to HCM
i have studied your case
how much is your body weight
you have got disc prolapse at early age
do you lift heavy weight?
this is you first episode or repeatedly having same problem
is there any weakness in your lower limb or upper limb?
lumbar disc prolapse leads to sudden pain

you need methylcobalamine , muscle relaxant with analgesic

take rest , , hot or cold fomentation
avoid lifting weights
sit with taking support to your back
continue spine extension exersizes
physiotherapy - SWD ,IFT WILL HELP
if pain doesnt relieve then you need spinal decompression surgery
for lumbar vertebrae ,and nerve decompression
for further query contact drvaibhavg@yahoo.com
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Have Severe Back Pain. Have No Reflection On The Knee, Foot. Have Right Lateral Disc Herniation. Treatment?

hallo dear friend ,thanks for writing to HCM i have studied your case how much is your body weight you have got disc prolapse at early age do you lift heavy weight? this is you first episode or repeatedly having same problem is there any weakness in your lower limb or upper limb? lumbar disc prolapse leads to sudden pain you need methylcobalamine , muscle relaxant with analgesic take rest , , hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exersizes physiotherapy - SWD ,IFT WILL HELP if pain doesnt relieve then you need spinal decompression surgery for lumbar vertebrae ,and nerve decompression for further query contact drvaibhavg@yahoo.com