Hello doctor,
I have had pain and numbness in my lower back for a month. I took tablet Ibuprofen and tablet Flexiban. The pain subsided when I used the medicines and has again recurred. I also went for an X-ray and MRI scan. My reports suggest :
In the different radiograms of the dorsal and lumbar spine, the bone morph structure is normal. In the dorsal column, the alignment of the posterior walls in the sagittal plane is maintained, with no appreciable reduction of the inter somatic spaces—mild anterolateral marginal osteophytosis in the lower dorsal segment, translating minimal degenerative changes. In radiograms of the lumbosacral spine under load, there are no listesic deviations in the sagittal or frontal plane. There is no appreciable reduction of inter somatic spaces. Mild arthrosis of the posterior interapophyseal joints in the lower lumbar segment. Permeable sacroiliac joints. Sacrococcygeal column without morphostructural changes, with normal alignment.
Kindly suggest medicines, exercises, and dietary changes improve my condition.
Thank you.
Hello,
Welcome to icliniq.com.
I have reviewed the attachments (attachment removed to protect the patient's identity). It is a grade 1 lumbosacral pain with no abnormality. The degenerative changes are mild. I suggest the below treatment plan along with intake of tablet Ibuprofen, which includes:
I also suggest you apply a hot pack twice daily at the tender areas and have fresh coconut water and milk products to maintain strong bones and joints. Finally, maintain a good posture by having back support with pillows at the lower back whenever you sit and support with pillows under the knees and back when you lie down.
I hope this helps.
Thank you.
I suggest you go for an MRI (magnetic resonance imaging) scan if pain persists.
Preventive measures:You should avoid sitting or standing for long hours.
Regarding follow up:I suggest a follow-up after ten days.
Hello doctor,
Thank you for the response.
I am feeling better after doing the exercises. My MRI report suggests paracentral disc protrusion in the L5 S1 region. Also, there is a partial annulus tear.
Kindly advise.
Hello,
Welcome back to icliniq.com.
A protrusion is present at the lower back vertebrae. I suggest you continue spinal extension exercises, mobilizing techniques, superman pose, and cat and camel exercises. A physiotherapy session may also help. Do not bend forward and do not lift heavy objects. Also, avoid sitting for long hours.
I hope this helps.
Thank you.
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