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357139 tn?1220101112

pott's spine

My son,aged 27,is under ATT forthe last 4 months as he has diagnosed with infection/ganulation formation at L5-S1.The pain has reduced to a great extent.Now,he is on R-cinex 600 and mycobutol 1200. Please suggest if any he can do any exercise for the back.Any other suggestion for speedy recovery.The period for which medication is likely to continue may also be advised.
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Avatar universal
MEDICAL PROFESSIONAL
Dear Rachit,

I would suggest you not to join merchant navy till about 6 months to 1 year. You have to gain lot of strength in your muscle, bone and for this you have to take protein, calcium and vitamin supplements with regular weight bearing exercises and swimming and other forms of cardio.

After that you have to assess your strength and only after an orthopedician gives you a green signal i would not suggest you to join merchant navy.

Take care!
Helpful - 0
Avatar universal
Hello Dr,
I am 18 and have been diagnosed with Pott's spine on 2nd Feb 2009.
The infection is D12-L1 level.I had been on AKT-4 till july (6 mnths).Now i am on AKT-2.

The latest contrast MRI on 22 Jul shows the following report-
-Near total reduction in paravertebral soft tissue.
-Significant reduction in number and size of erosions at involved D12 and L1 end plates.
-Partial reduction in bone marrow edema and contrast uptake is noted in involved vertebral bodies.
-No other fresh abnormality.

I am perfectly mobile and have no problems in doing my work as such.
My inquiry is-
I have to join Merchant Navy, and the job requires its fair bit of physical activity.I want to know whether the disease will hamper me again in the future????
Will strenous activity like lifting weights about two years from now cause any problems????
There are a few requisites for joining merchant navy-
-Jumping in a swimming pool from 10mtrs height.
-Rowing a boat.
-Wearing a heavy fire fighters equipment
-Jerks and pushes on the ships.
Will i be able to handle these things two years from now?????

Would be grateful for your reply.
Thanking you.
Rachit Bhardwaj (New Delhi)
Helpful - 0
Avatar universal
Dear Doctor,

My father is 76 years old and recently a month ago he was detected Koch's Spine and he is under medication AKT-4. He is in Bangalore and currently he is taking the medication on a daily basis however past few days his pain has increased tremendously. He is not able to get up and walk and the pain is really killing him. Doctor's told me to continue giving him the AKT-4 (he has been taking this since Aug 14th). I am not sure the cause of this pain and why it is so severe? Does it mean that the infection is not curing or some other reason? I have the MRI, X-Ray reports as well. One of the doctor suggested to do a Biopsy and based on the result find out if surgery needs to be done? I am not sure if surgery is the right solution or should I wait till the TB Infection is completely cured. Considering my father's age can someone in this community share their experience as how long he will have to take AKT medication? What else needs to be done so that the pain reduces? Is the pain because of the infection or something else? My father is a diabetic patient and we have completely controlled his diet and the recent blood sugar report shows a good improvement in his blood sugar level.

I would really appreciate if some one can guide me I really cannot see him suffer through this pain. If someone can provide a good doctor's reference that would be very much appreciated. We are also currently giving him Ayurvedic medicine as supplement (to control diabetes and calcium tablets).

Looking forward for an advice and guidance.

Regards,
Krishnan
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Pott's Spine is caused by tuberculosis, a bacterial infection. You should also take Anti tubercular therapy. You can visit DOTS centre in Chandigarh, and follow the RNTCP guidelines, Revised National Tuberculosis Control Programme.

You should have proper diet and protein and calcium supplements help in faster recovery. We would also suggest physiotherapy after a period of time.

Take care and come back to us with further queries.

Helpful - 0
Avatar universal
HELLO DOCTOR,MYSELF BHANU I M IN CHANDIGARH  .DOCTOR I WAS DIAGANOSED WTH POTTS SPINE ON 12JUNE AND AS MY DCTOR RAJ BAHADUR HE TOLD ME TO BE ON BED FRM THAT DAY MY MRI SHOWED ABCESS FORMATION.AFTER ONE MONTH I STARTED LOSING POWER IN MY LOWER PART AND APPROX IN 15DAYS LOST POWER BUT SENSATION NTACT..THN GONE THROUGH SURGERY ON 12 AUGUST..08 AND NOW TRYING WALKING WITH WALKER BUT FEW PRTS  GAINING POWER IN PROCESS IS IT GOOD SIGN OF RECOVERY DOCTOR ....DOTOR TOLD TO WEAR BRACE FOR TWO YEARS AS THEY  DID BONE GRAFTING.
                  PLEASE GUIDE AND COMMENT ON RECOVERY POINTS
                                                                                 REGARDS-
                                                                          BHANU SHARMA
Helpful - 0
Avatar universal
Dear doctor,
Recently i got the tb of spine
i took akt4 for three months
That time i have done the esr checkups it was shown like 18,8,10 mm/hr for three months.then i started taking akt3 but my esr level has increased to 25 mm/hr after taking the akt3 medicine.
Now what should i do .shall i continue the akt4 for some more time
Pls provide ur suggestion
Helpful - 0
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