Talk to Internal Medicine on Spinal Stenosis
Asking for Mother, Female, 65 years old, Rojhan district rajanpur
My mother is Diabetic (on inj insulin), hypertensive, and Stage 2 renal failure all are under control (as she taking medicine regularly). Since last 2-3 weeks, She developed lower back pain radiating to left leg. Pain is sharp, periodic, more sever when she moves or sits, relieves by lying flat on bed or if if keeps sleeping. Need to know what are best options for her. Invasive and non-invasive. Thanks in advance.
Dr. Uzair Akbar Ali - Internal Medicine Specialist
MBBS, MRCP (Ireland) | Lahore
Hi
it seems likely she has sciatica pain. Would suggest Pregabalin 75mg once daily for pain. As she is diabetic she has risk og getting neuropathies. Alternate option would be amitriptyline 25mg at bed time. If pain doesn't get better then it is better to consult a doctor physically and she might need an MRI spine then.
Thanks
Member
Anonymous User
Hi Dr uzair. Thanks for ur valued reply.
We've done MRI and it shows compressed nerve roots at level L4, L5 levels with decreased disc space. Gabapil is not helping much. We went to a pain management doctor. And he is suggesting laser nerve root therapy for 50K. People say laser is not standard treatment. Can u comment on it ? Thanks
Dr. Brig R Muhammad Asif - Internal Medicine Specialist
MBBS, FCPS, MSc (Medical Administration) | Rawalpindi
154 Positive Reviews
Disc space narrowing is causing compression of nerves. Treatment options include medicines, physiotherapy, or surgery. Since there are other comorbid conditions also, a pain clinic would be an exact place to visit for further evaluation and expert management
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