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Dr. Andrew Rynne

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What Causes Low Back Pain?

mild low back pain with b/l lowerlimb pain after walking 10 min age 52yrs wt-62kg ht 5.8 inches pain while sitting n getting pain n has 2 take support while gettin up L4-5 SEVERE DIFFUSE DISC BULGE INDENTIG ANTERIOR THECAL SAC N NEAR COMPLETE OBLITERATION OF B/L NEURAL FORAMINA
Mon, 22 Sep 2014
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Diabetologist 's  Response
Hi, welcome to our site. I am Dr Saumya Mittal, MD.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

Yours is a condition known as myeloradiculopathy- that means the disorder (pathy) involves the spinal cord (myelo-) and the nerves coming out of it (radiculo-).

Your spine is basically a column of bones separated by cartilages with spinal cord running inside this bony column. the nerves come out from the spinal cord and run out to the body through small gaps between the bones

These cartilages sometimes move from their place. This displacement can be in any direction, but is most prominently and commonly behind. Now when this disc (cartilage) slips behind, it manages to obstruct the gaps through which the nerve comes out. This causes damage to the nerve.

If the disc protrudes further, it may start to affect the coverings of the spinal cord (theca)at first, followed by the compression of the spinal cord itself.

This is exactly what is happening to you, as per the report entered.

ideally, the treatment of this condition is neurosurgical. But no doctor likes to do surgery at first. So I would suggest a prescription of pregabalin and methylcobalamin. This may be associated with physiotherapy. A short course of steroid may afford some immediate relief.
If nothing works, surgery may be considered

I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
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What Causes Low Back Pain?

Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query Yours is a condition known as myeloradiculopathy- that means the disorder (pathy) involves the spinal cord (myelo-) and the nerves coming out of it (radiculo-). Your spine is basically a column of bones separated by cartilages with spinal cord running inside this bony column. the nerves come out from the spinal cord and run out to the body through small gaps between the bones These cartilages sometimes move from their place. This displacement can be in any direction, but is most prominently and commonly behind. Now when this disc (cartilage) slips behind, it manages to obstruct the gaps through which the nerve comes out. This causes damage to the nerve. If the disc protrudes further, it may start to affect the coverings of the spinal cord (theca)at first, followed by the compression of the spinal cord itself. This is exactly what is happening to you, as per the report entered. ideally, the treatment of this condition is neurosurgical. But no doctor likes to do surgery at first. So I would suggest a prescription of pregabalin and methylcobalamin. This may be associated with physiotherapy. A short course of steroid may afford some immediate relief. If nothing works, surgery may be considered I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) Consultant Physician and Diabetologist JS Hospital Ex Apollo Hospital, Delhi Ex Kailash Hospital, Noida