Concluded Case

a38yr old young male with chronic low back pain on and off not radiating non diabetic not hypertensive wrong 79 Xray for review and advice.

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Loss of lumbar lordosis. Schmorl's node at lower endplate of L5. Both SI joints are clear. PIVD. Adv--MRI.

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Xray LS spine suggests -Straightning of lumber spine with loss of lumber lordosis -L5-S1 spondylolisthesis. Ad- MRI spine f/b Gabapentin+mecobal ,,, LS spine belt,,, oral melpred 8mg,,, Anagesics SOS

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Narrowing of L5 S1 disc space . Straightening of lumbar spine due to loss of Lumbar lordosis- paraspinal spasm LUMBAR SPONDYLOSIS SUGGEST MRI LUMBAR spine Bed rest for 2 weeks, NSAIDS, pelvic traction, IFT/ SWD, later LUMBAR belt Spinal MUSCLE strengthening exercises Correction of risk factors like obesity, poor posture, DM2

Loss of lumbar lordosis. Schmorl's node at lower endplate of L5. Both SI joints are clear. PIVD. Adv--MRI.

Thank you doctor
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Loss of normal lumbar lordosis with straightening of lumbar spine. Narrowing of L5 S1 disc with early spondylotic changes l5S1.Suggest medical management; to start gabapentin/ pregabalin

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There is something called far out syndrome Here you can see long transverse process of L5 Sometimes they abut on iliac Crest and an exiting nerve get trapped. Hence the name. This case need symptomatic treatment

Is there is listhesis also?
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Yes agreed thdre are degenerative changes at lower end plate L5 with L5S1 lethiasis and loss of lordosis. Age of pt is contradictory to findings hence suspicious stress #L5 do mri Full back brace NSAIDs and physiotherapy

X ray suggests Loss of lumbar spondylosis PIVD L5-S1

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L5 - S1 , and plz check the x ray clearly there is degenerative L5 vertebra , and L5 & S1 disc problem . for much know u can do MRI , otherwise OK , lumber spine is straight , so the treatment is Lumber traction ( plz check the L5 vertebra if there is problem then don't give ) IFT , Ultrasound with low dose to high , gradually increse with in weak , Hot fermentation 5-10 minute 2 time not in afternoon Extension strengthing exercise daily Hip muscle squeeze ex. Straight leg rise with ankle dorsifkexion Medication - zerodol Mr ( half in morning and half tab. In evening after meal Gabavent - M ( 1 tab. Dose in night 1 tablet cal 500 d3 also ask for patient job ... because posture is very responsible advise to maintain posture

Disc space reduce between d10 to l2 MRI physiotherapy lumbosacrsal belt rest

L5 - S1 , and plz check the x ray clearly there is degenerative L5 vertebra , and L5 & S1 disc problem . for much know u can do MRI , otherwise OK , lumber spine is straight , so the treatment is Lumber traction ( plz check the L5 vertebra if there is problem then don't give ) IFT , Ultrasound with low dose to high , gradually increse with in weak , Hot fermentation 5-10 minute 2 time not in afternoon Extension strengthing exercise daily Hip muscle squeeze ex. Straight leg rise with ankle dorsifkexion Medication - zerodol Mr ( half in morning and half tab. In evening after meal Gabavent - M ( 1 tab. Dose in night 1 tablet cal 500 d3

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