Concluded Case

lumbar spondylitis with sacralisation

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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Concluded answer

Multiple level degenerative disc disease Analgesics Muscle relaxants Gabapentin will help Lumbosacral corset Limp could be due to hip pathology. Especially AVN in these kind of people Xray pelvis with both hips ap

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Loss of Lumbar lordosis, paraspinal muscle spasm Osteophytes seen , beaking + SPONDYLOLISTHESIS of L5 over S1 . Degenrative spondylosis with Spondylolisthesis Complaint is suggestive of root compression, sciatica. Suggest Rest, NSAIDS, physiotherapy, pelvic traction, Gabapentin, Neurotropic vitamins, MRI

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Diminished disc space L4L5, L5S1 Osteophytes body of vertebrae L2-L5 Lumber spondyelosis with PIVD? Suggested MRI

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DD:-Chronic Conditions Spinal stenosis is a narrowing of the space around the spinal cord, which can put pressure on the spinal nerves. Spondylitis refers to chronic back pain and stiffness due to severe inflammation of the spinal joints. Fibromyalgia causes widespread muscle aches, including back pain. Rx. 1. Tab. Butaproxivan 10tab 1-0-1 2. Tab. Dexamethasone 10tab 1-0-1 3. Tab. Calcimax 10tab 0-1-0 4. Tab. Methyl cobalamin+ pregabaline 20tab 0-0-1 5. Diclo gel BD Advice to hot fomentation

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Multiple level degenerative disc disease Analgesics Muscle relaxants Gabapentin will help Lumbosacral corset Limp could be due to hip pathology. Especially AVN in these kind of people Xray pelvis with both hips ap

Lumber Scoliosis PID L12 spondylitis

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Osteophytes seen lateral xray spondylolithiasis ideal is MRI lumbosacral for minute detail bmd

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osteoporosis compression

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Loss of lumber lordosis ... Multiple osteophyte seen

Lumber lordosis reduce, osteophytes present in some level, muscle spasm may be present Physiotherapy managment is... 1.hot fomentation 2. Mackenzie extension exercise 3.intermitent lumber traction 4.exercises for lumberextensor

Decreased disc at L4-L5,L5-S1,with anterior osteophytes. Rx NSAIDs, anti acid, gabapentin, vit de. physiotherapy 2weeks.