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  • Pain and numbness due to paracentral disc extrusion

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    Old 09-16-2004, 01:49 AM   #1
    karan_intouch
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    Pain and numbness due to paracentral disc extrusion

    Hello
    I'm a software engg. and have to sit in front of computer for
    long hours.

    To list out the history, I must start with this. I frequently had back pain aroung one and half year ago, but it used to get cured by itself. But on 26/05/04 I had a slipped disc on which was identified by my doctor on physical examination and was later confirmed by the MRI.
    The exact statment of the MRI is:
    "Straightening of the lumbar spine is seen.

    Degerative Schmora's node phenomenon is seen in the lower dorsal and
    lumbar region.

    The intervertebral disc signal is reduced at L1-2 and L2-3 levels on
    images suggestive of disc dehydration.

    The upper endplate of L3 vertebral body shows evidence of irregularity
    and heterogenous signal intensity on T2W images. On T1W images
    hypointense signal surrounded by hyper to intermediate signal intensity
    is seen in this region

    At L1-2 level there is evidence of a well defined left paracentral disc
    extrusion, which is evidence os superior migration. THis is seen to
    compress the thecal sac from the left anterior aspect however the neural
    canal is not compromised.

    No disc buldge is seen from L2-3 to L5-S1 levels. The central and
    neural canals bilaterally appear spacious at these levels.

    MR Myelography reconfirms the above findings.

    No abnormal pre or para sinal soft tissue signal intensity is seen.

    The conus and couda display normal MR signals.

    The facet joints show normal MR appearance bilaterally.

    IMPRESSION:

    MR findings reveal a well defined left paracentral disc extrusion at
    L1-L2 level with its superior migration as descibed above.
    "
    After that I was prescibed 3 weeks of complete bed rest. I took the bed rest for about 2 weeks and then the pain had gone down to a large extent. The numbness and pain in left leg was minor.
    After this one day again after about 1&1/2 months the pain again came up and not the pain & numbness was also there in my left leg, pain was also there in might left buttok and the lower abdomen region on left side.
    He prescibed me followin medicines and told me not to do any
    exercises
    1. Nerveup
    2. Selzic 150
    3. Gemcal
    4. Celib 200mg
    5. Tryptomer

    When I started these medicines, there was relief in the pain and
    as well as numbness and strians which were there in my left leg.

    The somebody prescribed me of HYDROTHERAPY AT Indian spinal injury denter ( Vasant Kunj Delhi). I went there for 3 days but
    the pain has really aggrevated and I've stopped going there.
    But now my condition is much more severe. Now I'm suffering from
    following problems:
    1. Pain in back ( aggrevated with sitting )
    2. numbness and pain in the left leg. specially in thighs and
    left fooot(+fingers).
    3. Pain in left buttok (occassionally)
    4. Pain in lower abdoman region ( on left side) some time strain
    in testicles also.
    5. I feel releived from the pain while walking but the strain in
    thigh and foot muscles pesists( sometimes).

    Please guide me though what exactly I should do. Should I take
    rest again for 1-2 weeks or go for a MRI scan again.
    I'm really worried as I'm the only earning hand and the computer
    is my only way for that and I can't avoid sitting in front of it. Is surgery needed at any stage and how severe my problem is ?

    I would be really thankful if you could guide me.

    with due regards
    karan khanna

     
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