A 45 years female.she had back pain radiating to lower limb. pain is increased in activity. she is diabetic. she had tingling and numbness in both legs. please diagnose and suggest treatment...

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PIVD(L3L4,L4L5,L5S1) cMaximum disc bulge in L4L5, c spinal canal stenosis c Nv root compression.Rest,TENCE, Intermittent traction, physiotherapy.Treat c Pregabalin+Methylcobalamine bd, Flupirtine 100 mg tds, Xantinol Nicotinate bd,if not improved refer to Neurosurgeon

Thank you Dr Abdul Majeed Sir
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MRI image not available.PIVD(L3-L5),As per report diffuse posterior disc bulge on L4L5 c spinal canal stenosis.Avoid forward bending, lifting of heavy weight, sitting on ground,soil disposal on western type.Sleep on hard matress.TENS, Physiotherapy.Tab Pregabalin+Methylcobalamine (75+750mg) bd,Tab Flupirtine 100mg tds,Tab Xantinol Nicotinate bd.If no response,consult Neurosurgeon keeping plan for Laminectomy & Decompression opn

As per MRI....ADVICE THE PATIENT LS SPINE BELT WITH PRECAUTIONS AVOID FOWRWARD BENDING ..SLEEP ON FIRM FLAT SURFACE ...IN MEDICINE ..TAB.MECOBALAMIN + DULOXITINE 7DAYS H.S THAN B.D... TAB.FLUPIRITINE 100 B.D TAB.PIROXICAM 20 O.D..

Canal stenosis with lumbar spondylosis with Radiculopathy EMG is ideal opinion of orthopedic or neurosurgeon

Pressure S/ S due to protrusion of I V disc at L3-L4, L4-L5, L5-S1 Decompression Physiotherapy Experts opinion

Nerve compression at various lumber vertebrae More so between L4L5 It is because of Osteoporosis Bed rest muscle relaxants Pregabaline and methycobaline May help Seek the opinion of Neurosurgeon

Bed rest in orthopaedic mattress pregabalin methylcobolamine nortryptline combination drug After pain subsides extension exercise of spine Lumber spine support belt ..avid forward bending

Physiotherapy, Vit D, calcium , mecobalamin and tight control of DM

Physiotherapy , Exercise under supervision, And Muscle relaxant Tabs. Hard bed rest.

Disc protrusion of L3 -l4 , l4 l5, l5 S1 . Lumbar spondylosis Traction, tens Mackenzie exercise Back strengthening Core strengthening LS belt Ergonomic advise gives

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Diseases Related to Discussion

Osteoporosis
Spondylosis
Radiculopathy