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What's a Dx and Rx for this Case

60 yr m suffering from back pain since 2 months and last 2 days he has more pain and unable to walk properly he is taking Vitamin b12 inj alternate day upto 5 inj. and calcium vitamin D3 tab regularly since last 15 Days what it's Rx and Dx .

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Severe degenerative disc disease with lumbar kyphosis Sacroiliac joint arthritis Likely to have root compression and canal stenosis MRI lumbosacral spine and sacroiliac joints CBC esr RA factor Uric acid Crp Lumbosacral corset Gabapentin will help

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Severe degenerative disc disease with lumbar kyphosis Sacroiliac joint arthritis Likely to have root compression and canal stenosis MRI lumbosacral spine and sacroiliac joints CBC esr RA factor Uric acid Crp Lumbosacral corset Gabapentin will help

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Degenerative changes lead to loss of disc space, decreased lumbar lordosis lead to mild kyphosis of the spine. Suggestive of mri of lumbosacral spine to get a descriptive view of the affected soft tissues affected and work accordingly.

@Nasar Nasim see the posture of patient Evaluation done on posture try to correct posture with back extension exercise And rotational exercise for the same U will definitely get the results within a 10 days

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Dr Nasar Hope Physiotherapy is going on-relevant investigations other than X -ray -pl evaluate for Koch's spine,exclude H/o injury metastasis,vital organ functions?-then appropriate tt follows

Significant degenerative changes, suggestive of Lumbar Spondylosis. Calcification of anterior longitudinal ligaments at L1-L2, L2-L3 level. Loss of lordosis of lumbar spine

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Lumbar disc space reduce always MRI whole spine radiculopathy with osteophytes seen do EMG lower extremity dd ankylosing spondylitis dd oa hla27

Degenerative changes seen Advice MRI Postural correction Physiotherapy should continue

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Lateral view shows an posterior pelvic tilt & anterior shift, it causes compensatory obliteration of lumber lordosis. These patients benifit from eccentric activation of glutei. DNS oblique sit position will help. Less is more

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Disc space reduce

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