Hi doctor, Previously, I contacted you with the following issue. I got a back muscle spasm with lumbosacral spondylosis. Posterior central disc bulge at L4-L5 and L5-S1 causing thecal sac indentation. Also, bilateral neural foraminal narrowing. I am having groin, LBA and leg pain for the past two months. More details about the presenting complaint are as follows. I have groin, hips, coccygeal and lower back pain. The pain started after starting yoga two months back. The pain has been there even after discontinuation of the same. I am also having pain and stiffness in the neck as well. I am doing desk job and walking for around 150 minutes every week. My USG and MRI pelvis show small multiple fibroids. They are not likely to cause LBA as per gynecologist consultation. I am on SOS anti-inflammatory, calcium and vitamin D3. For the above posted query, the answer given by you was the following. What is the intensity of back pain on a scale of 1-10? Apart from pain in the back region, is there also associated pain radiating down into the legs? If yes, which leg and what is the intensity? Is there any associated numbness or weakness in legs? How much distance can you walk on a daily basis and what are your analgesic requirements on a daily basis? Ideally, before prescribing you any medications, I would like to know your neurological examination in the form of assessment of motor power, sensory examination and evaluation of deep tendon reflexes of your lower limb. Also, I would like to see your MRI images and one x-ray (LS spine lateral - flexion and extension views) to look for any bony instability, if present. Once I have all this information, I can then make an idea and prescribe you on what needs to be done.Also, you said that a lot of patients have a degenerative disc, but that may not be very symptomatic. So, we prescribe gentle anti-inflammatory medications, intensive physical therapy and adequate calcium and vitamin D intake to keep bone metabolism healthy. Anyways also briefly let me know about your medication history and any associated history allergy, etc. Now, my complaint is lower back pain and pain in the coccyx, buttocks and groins radiating to the legs for the last two months. I have attached the MRI spine and pelvis here for your reference.
Hello. 1. Early disc degeneration. 2. Improper posture at work. 1. X-ray lumbosacral spine (anteroposterior and lateral - flexion and extension views). 2. Blood investigation includes CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), serum electrolytes, serum vitamin D and B12 levels. Revert back with the reports to an orthopaedician and traumatologist online.--->