leg pain associated with back pain

[molu84]

recently i done MRI of lumbo sacral spine.result is diffuse buldge of L4-5 disc with mild posterior protrusion indenting bilateral transversing L5 roots and also causing mild bilateral foraminal narrowing.my complaints are,radiatin pain along right thigh on standing (cuff muscles)

[Dr. A. Srivastava]

Thank you for your question again. In disc prolapse condition, prolonged standing or sitting should be avoided (not more than 1 hour). Regular spinal exercises suggested by physiotherapist would be quite helpful in reducing the symptoms. In addition, it is essential that if you notice any "red flags" such as loss of control of the bladder function, paralysis & spasticity of both the legs, please get this immediately evaluated for further assessment with neurologist. Hope this helps.

[molu84]

Doctor already diagnose as Lumbar disc prolapse.Already started physiotherapy(SWD,Lumbar traction 15kg).Started medicines.What will be the complications for this and how we can know whether its reduced and what all the precuations to do?. How long rest is needed and in which position i can use for sleeping and sitting. Is any pblm by doing long standing and whih all activities cause to increase this?.Is any pblm in doing long hours standing (8 Hrs).

[Dr. A. Srivastava]

Thank you very much for your question; although it is quite hard for me to give you a precise opinion here without being able to examine you, but I would try to provide you some relevant information about your health concern.

In slipped disc or disc prolapse conditions symptoms may originate due to nerve root pressure, pressure on the spinal cord and pressure on the tail bone. Common symptoms could be paralysis of muscles, pain radiating to the legs/thigh, numbness, tingling, or weakness. Warning symptoms can include loss of control of the bladder function, paralysis & spasticity of both the legs. Since you are suffering continuous weakness and notice reduced strength of muscle bulk in left leg, please arrange an appointment with a neurologist right away. Further referral to a physiotherapist for spinal exercises could be beneficial and may produce relief of symptoms. Hope this helps. Take Care & Stay Healthy!!!