Concluded Case

spine or no spine

f/53 years, chronic low back pain, episodes of catch in back with severe pain, radiating down both legs up to knees, not beyond, symmetric, nil deficits, nil sensory changes..can't squat or sit crossed legged, moderate obesity.. open for discussion as to diagnosis, investigation and managenent

2 Likes

LikeAnswersShare
Concluded answer

this is a typical case where complaints appear to mimic spine pathology but actually it is not a spine case..its a case of age related stiff joints leading to exaggerated muscle load and skeletomuscular pains...MRI is a double edged tool and should not be ordered in such cases.. as many have suggested, many such case get operated and get no benefit.

All Answers

Loss of lumber lordosis Multiple levels of disc disease with osteophytes Maximum PIVD L4L5, L5S1 with annular tear with Nv root compression & spinal canal stenosis May need surgical intervention Consult with Neurosurgeon

Thank you doctor
0

View 1 other reply

Multiple disc L34 L45 maximum involvement.L34 there is canal narrowing also at L34 ,L45 that will explained the root pain at L3-4 . TRY CONSERVATIVE ,NO RELIEF YOU ARE THE IDEAL PERSON FOR FURTHER MANAGEMENT .

Thank you doctor
0

Multiple level disc dessication L4/5 level root compression Correlate with symptoms Need xray pelvis with both hips ap to rule out hip pathology Trial of conservative treatment Analgesics Muscle relaxants Gabapentin will help Back and abdominal exercises Postural advise

Thank you doctor
0

Spinal stenosis syndrome Leminectomy with discotomy L3 4 5 Decompressive surgery to clear ligamentum flavum

Thank you doctor
0

View 1 other reply

It is at L1L2 root compression As pain or stiffness is not beyond knees Scan shows desication of disc bet L1L2 and sclerosed and driedup Better option surgical intervention

Thank you doctor
0

View 1 other reply

this is a typical case where complaints appear to mimic spine pathology but actually it is not a spine case..its a case of age related stiff joints leading to exaggerated muscle load and skeletomuscular pains...MRI is a double edged tool and should not be ordered in such cases.. as many have suggested, many such case get operated and get no benefit.

There are disc prolapse of L2/L3, L3/L4 and L4/L5 and maximum at the label L5/S1 causing nerve root compressionsymptoms symmetric 0, no Sensory deficit, no motor deficit may be treated conservatively initially if no such improvement Surgical intervention will be helpful.

Thank you doctor
0

Diseases Related to Discussion

Cases that would interest you