56 yr old male with ho of low back pain 2yr .radiating to left lower leg tingling. no neurocdeficit . no dm htn obesity. ho of vertigo and neck pain plus . pain mild to moderate .at 60 kg bp 128/80

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Lower lumbar spine degenerative changes are seen in L3,4,5 Rx - NSAID,Muscle relaxant and physiotherapy. If that is inadequate Tab - Gabapentin BD,Topical Diclofenac gel,If depression seems to be a cofactor, agressively treat depression with SSRI to reduce patient pain.

It is a c/o PIVD Disc at L4L5 and L5S1 are dried up While at L3L4 mild protrusion At this stage conservative treatment Physiotherapy NSAIDs Tab gabapentin 100mg+nortryptiline10mg 1od at bedtime Neurobion forte 1od Review every fortnightly

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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PIVD(L4L5, L5S1) TENS SWD IFT Traction of Lumber spine if needed Muscle strenthening exercise Physiotherapy Tab Gabantin NY(400+10mg) hs Cap Skelebenz 15mg hs Tab Complamina bd Laxative sos Anxiolytic sos Antioxidant Tab Shelcal CT hs Tab Vitamin D3 60k once weekly Refer to Neurologist/Neurosurgeon

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No significant cord or root compression in MRI. disc changes present. Conservative management with back extension excrcises, analgesic with muscle relaxant, gabapin, neurobion with back precautions like avoiding bending forward, lifting weights, sitting with folded legs. Pt should improve within 1 month.

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Disc l one to l 5 protrusion pressing nerve root causing tingling lubmbosacral belt physiotherapy myoril 8 mg bd pregabalin 75 mg hs

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Spinal canal stenosis syndrome

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Agree@Dr. Shivraj Agarwal

I agree with @Dr shivraj Agarwal sir

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Go for dynamic ls spine Xray, may be movement are present in LS spine.

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