F70. Pain both legs with tingling in soles. Pain left thigh with cramps left leg.
Listhesis L4/5 grade 1 Listhesis L5/S1 grade 1 Degenerative disc disease Symptoms s/o neurogenic claudication MRI evaluation Analgesics Muscle relaxants Gabapentin will help Calcium vitD Lumbosacral corset in day time
Suspicious prolapse disc bet L4L5 Reduced space bet L5S1 Straightening of lumbar vertebrae loss of lordosis paraspinal muscle spasm Lumbar spondylitis
Spndylolisthesis L5 S1 Grade 2 Lumber spondylosis Pain and tingling is due to claudication neurological one
SPONDYLOLISTHESIS OF L5 OVER S1
L4-L5 and L5-S1 Listhesis Advice MRI LS Spine Time being Treat with Pregalin M 75HS along with Calcium and LS Belt
PIVD L4-5 L5-S1 disc space reduced Mild calcified osteophytes lt L5-S1 vertebra
Spondylolisthesis
Is he diabetic & are the symptoms symmetrical? rule out peripheral neuropathy , clinical findings are more important than x-rays.
Mild scoliosis of listhesis L4 over L5, L5 over S1, avoid back extension exercises, static back exercises, start medication for pain, posture correction
DD NEUROPATHY SCIATICA
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60year female pt.suffering from neck pain last 3..4years tingling and numbness both hands last few months .. headache BP150/90...Plz provide your valuable opinion
Farooq Mohammad1 Like16 Answers - Login to View the image
60yrs/F LBA since 3yrs. Pain has aggravated since few months. Now having difficulty in walking & sitting.
Dr. Anwer N Jamali2 Likes26 Answers - Login to View the image
51 Year old male patient with pain in Left Hip Joint for 3 days. Increased pain in morning and decreasing during day time. No pain during walking but increases during sittings and standing from sitting position. Patient is diabetic for 18 years. Sugar is within normal limits with oral hypoglycimic drugs. Patient has history of steroid containing ointment for long duration approximately 2 years or more. Your Valuable Opinion Needed Respected Doctors.
Dr. Nikesh Kumar Singh3 Likes24 Answers - Login to View the image
New Case 72 yr M,Known DM 21 yrs,present FBs118mg/ ,HbA1c 6.8,presented with neck pain for 4 yrs aggravated since 4 months.Neck pain radiating to both side of neck to the occipital larea and both upper limbs Rt > left. Intermittent severe pain and at times he had difficulty in taking his food due to severe rt upper limb pain .Pain is shooting in character radiating down on either side up to RT thumb and left wrist.No difficulty in walking. On exam dulling of sensation C2 , 3,4 5 6 ,7 rt side and c56 on the left side.No long tract signs. What abnormality in the MRI?
Dr. Manorama Rajan5 Likes21 Answers - Login to View the image
57 yr m alcoholic c/o LBA depressive personality nondiabetic nonhypertensive h/o sudden on set of low back pain going down to rt LL pt walks with a limp on rt side dx and Rx
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