A case of Spondylolithesis

-A female patient age about 73 years old -A case of Spondylolithesis -C/O severe lower back pain tingling and numbness of both lower limbs since long -H/O HTN.DM abnormal movements -No. C/O epilepsy COPD -No constipation O/E Patient Counsicsess Disability Abnormal movements PR:90TM BP:160/90mmhg Tem:Normal Spo2:96% GCS E4.V5.M4 Motor +2 Medication T:Telmi 40 mg OD T:metformin GM 2 half BD BBF T: Gabapin nt half TID T: patocid 40 OD

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NEED'S.. SYMPTOMATIC T/T WITH CLINICAL CORRELATION.. PHYSIOTHERAPY..

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Causticum 1 M single dose Macrotinum 200 weekly × 4 dose

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Investigations Vitamin B12 , Vitamin D , Hb1ac , Bryonia 30 followed by Natrum Mur or Calcarea carb 1M single dose, Vitamin D weekly , Vitamin B12 in adequate amount , CP3x and CF 6x , Bood sugar under strict control ,Physiotherapy after 6weeks

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Rhus tox 30 tds for 15 days

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Ok ho jatti h 9882266712 on line

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Y pro seda ke liye ok hotti h

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Spondin drops thrice a day Cal carb 6x

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