Dear Sir, My mother ( 79 yrs.) had sudden onset of constipation & other little bit of gastro-intestinal problems two & half years back. At the same time she complained of pain in the left side of lower abdomen (illiac region). Gastroenrtrologist didn't find any specific serious problem. All tests has been done (USG abdomen, colonoscopy, endoscopy, all bood test,vitamins, TSH, LFT,KFT etc). She was checked by doctor at apollo chennai. They also didn't find any problem with gastro-entrology side. Patient still complaining of pain in left side of lower abdomen, walking difficulties. stifness all over, Pain in left lower limb, pain in the cervical region, both upper limb. Recently one of my friend (Dr.)visited my house. He has diagonised ankle edema, cervical spondyolysis, tunnel carpel syndrome & parkinson & advised me to meet an neurologist. He advised me to do CBC, CRP, Anti-CCP, X-ray of cervical region & nerve conduction study. All are normal except X-ray & NConduction. X-ray shows of spondyolysis & NC study impression : AXONAL TYPE OF SENSORI-MOTOR POLYNEUROPATHY. I met Neorologist He prescribed Pramipex 0.125mg TD for 14 days & then increase the dosage by double. I have started physiotherapy. I She is taking medicine for last four days. I am finding it difficult to manage the situation. Kindly give me some guidance or am i moving in right direction?

i have severe pain in shoulder and hand. the pain stays for long though intensity varies. My MRI showed disc procession at C5 and C4 to some extent. Doctor gave me nerve root block injetion. Pain reduce for 10 days but its back. Right now I am taking lyrica 75mg at night and SoS is flexura D.. Physiotherapy also not elping me... I am 47.

Hello Doctor-DD here and am 50 years old. I had lower back pain on left hand side along with radiating pain in left groin area since end of March 2023. After initial local pain management, the pain did not go, so my GP asked me to do LS Spine MRI. The report suggested some nerve root issue in L4 and L5, so I was asked to refer it to spine specialist. I tried to connect with Dr. Bapat at Nanavati Hospital, but could not see him as his assistant reviewed the reports and said its mild and suggested medicines – Ultracet 1-0-1 for 10 days, Vitencial – 0-1-0 for 30 days and Calciman K10 – 0-1-0 for 30 days. However, the pain persisted with bit of increase in pain in groin area. So the assistant suggested that for pain in groin area better to check with general surgeon about hernia and / or prostate. Since my regular GP is out of town and I had to take my mother to see Dr. Pande, Urologist at Kokilanben Hospital for Urinary Tract problems. So I checked with him about my problem. So he first did Uroflow test and then physically examined the prostate also and later said it’s all fine. He said due to L4-L5 nerve issue, there is pain in groin area and suggested medication – Synaptol 50mg 1-0-1 for 3 weeks, Pregablin (50mg) 0-0-1 for 6 weeks and Etoshine 90mg – 1-0-0 for 10 days and said to do USG of Groin, PSA (total) test and HBA1C after 6 weeks and then again see him. I have started his medication from 20.5.23. He said this type of pain is due to L4-L5 nerve falls under his area and now there is no need to again see Dr. Bapat (I am scheduled for his appointment on 29.5.23). I had also done MRI for hip joints in Nov 22 and the reports were normal. Please note all through last 2-3 months, most of the time the pain is dull and mild specially when in sitting position and at times in sleeping position. If I stand, walk, there is as good as no pain or very very minimal pain. But the pain still continues but in less intensity. Since yesterday, I have also started getting pain on right hand side also, but it pains only while getting up and / or twisting the body a bit here and there. Also, today morning I was having some burning sensation in pelvic area in sleeping position but no pain at that time. I am worried about all this and do not understand what the problem could be and why it is taking so long to become normal and whether all these pains is only due to L4-L5 nerve root issue or is it due to some other complications. I had done CBC test, LFT, KFT, Routine Urine and stool test around one month back and the reports were all normal.

Hello Sir / Madam ! My Name is Gaurav and my Age is 38 Yrs. I am a patient of Hypertension & Type -2 diabetes . Recently I hv started feeling my nerves were streching and it was ver difficult to drive or even walk . The Ortho Surgeon asked to do an MRI Soine and reports suggested I am having Nerve compression in L4 , L5 position He just prescribed 1 week medicine and No Physiotherapy. Pls suggest what shoul I do as I am not finding improvement in a big way.

i am 55 years old. Retired defense pilot. Have lots of sports injury which is showing up at this age. Body biochemistry is all with in limits, only fasting sugar is 108. For last few months i am having pain in outer left thigh muscles which increases during sleep as well as while lying down resulting in sleepless nights hence general body fatigue due lack of sleep. My exercise includes 5-6 km walk in the morning and occasionally thrice a week cycling. Orthopedic , General surgeon, neurologist as well as ayurvedic doctor has been consulted with MRI report. FINDINGS: Dorsal and lumbar vertebrae are normal in attenuation and alignment. Straightening of lumbar lordosis. Desiccation of lumbar intervertebral disc from L2-L3 to L5-S1 levels. Mild diffuse disc bulges at L2-L3, L3-L4 and L4-L5 intervertebral discs indenting anterior thecal sac with mild narrowing of lateral recesses and neural foramina. No significant compression of the cauda equina. Mild disc bulge at L5-S1 level indenting anterior thecal sac. Bilateral facet arthropathy is seen at L4-L5 level. Dorsal spinal cord, conus medullaris and cauda equine are normal. Para spinal soft tissues are normal. IMPRESSION: Mild lumbar spondylosis with mild diffuse disc bulges from L2-L3 to L5-S1 levels. Kindly help me and advice