Concluded Case

Lumbar scoliosis

Male aged 79yrs, complaining of severe backache, unable to walk or stand for longer time.Diabetic on medication. Already took neorelax mr and dazcort 6mg for 5 days with temporary relief. Please advise treatment for same.@Dr. Shivraj Agarwal sir.

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Old aged diabetic pt having uncontrolled PPG and degenerative changes in lumbosacral spines suggestive of lumbar spondylitis Rx control the diabetes with stepup the doses before morning meals Add vitd3 -60k weekly Tab calcium 500mg 1od High protein diet Physiotherapy Daily normal exercises as possible as looking his age Rx tab eterocoxib+thiocholchisone 8mg 1bd or tds Tab gabapentin 300mg+nortryptiline 10mg 1od at bedtime Adv to walk with stick or support And evaluate neurological status MRI brain
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Old aged diabetic pt having uncontrolled PPG and degenerative changes in lumbosacral spines suggestive of lumbar spondylitis Rx control the diabetes with stepup the doses before morning meals Add vitd3 -60k weekly Tab calcium 500mg 1od High protein diet Physiotherapy Daily normal exercises as possible as looking his age Rx tab eterocoxib+thiocholchisone 8mg 1bd or tds Tab gabapentin 300mg+nortryptiline 10mg 1od at bedtime Adv to walk with stick or support And evaluate neurological status MRI brain
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Clinical features suggest degenerative disc disease and possible spinal canal stenosis MRI screening of spine Lumbosacral corset Calcium vitD Gabapentin will help Analgesics Muscle relaxants
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Lumber spondylitis with uncontrolled postpartum sugar Adv Physiotherapy, vitaminD, Calcium Gabapentin300 mg 1HS Antidiabetic to be revised
Degenerative changes in the spine, pregabalin/ gabapentin , calcium vit d3/ biphosphnate. Look for sensory & motor look & radiculopathy
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SUGGESTIVE of DEGENERATIVE DISC. DISEASE WITH SPINAL. CANAL STENOSIS ADVISABLE ...M. R. I
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Degenerative changes in spine Nsaid orally Physiotherapy
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st give pachan chikista,specific amapachan dravya which not incrases vata.like eranda sneha with shunthi kwatha and lashunadi vati.arogawardhini, maharasnadi kwath with dashamularista. also use anuloman like gomutra haritaki vati. then give treatment for gudhrasi vata as u like and panchakarma basti and katibasti.with sachradi or dhanwantar tailam and rasnaerandmuladi kwath in vagbhata samhita.and lastly going with pranayam and yogasana for apunarbhav chikitsa