Spine

[jam27]

Hi
My father is 79 years old, he has since 4 days back and leg pain when walking, the MRI report is:
Photography column lumbar sacroiliac MRI

Examined the lumbar spine and disability portions of equity and pivotal time in the first and second study carried out MRI Myelogram, where the show:
- Sliding the level of the separation L 4 L 5 Spondylolisthesis L4 L5 grade 1, associated with a significant narrowing of the spinal canal due to degenerative changes in hypertrophic Facet joints and thickness in yellow binder.
- Hernia nucleus right core central level of the separation L 4 L 5, the pressure on the bag meningitis, nerve root right.
- Pinch interval L 5 p 1, without significant compression of the nerve.
- Lower part of the scenes of the spinal cord and cone terminal normally.
- Vertebral bodies is normal and without a change in the reference.
Is there any possibility for him? surgery or Ivy surgery? he is biabetic type II.  I can come to Beirout
Thanks in advance
Jam

[jam27]

Dear Dr. Srivastava
Thanks a lot for your answer, the neurosurgeron said that he needs to be operated to release the nerve, that the results will be 50 - 60 % and he does not know if all the nerves will work again, the surgery will be done by complete anestesie, is this ok for a man of 79 years old, diabetetic, I am really very worried, thanks again
Jam

[jam27]

Dear Dr. Srivastava
Thanks a lot for your answer, the neurosurgeron said that he needs to be operated to release the nerve, that the results will be 50 - 60 % and he does not know if all the nerves will work again, the surgery will be done by complete anestesie, is this ok for a man of 79 years old, diabetetic, I am really very worried, thanks again
Jam

[Dr. A. Srivastava]

Hi,

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 lumbar 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 arms or legs, leg pain and 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!!!

[caregiver222]

You father has sciatica. The sciatic nerne is being compressed.

The cause is degeneration of the spine, the reasons being age, cumulative injury and arthritis.

Normally, in a younger person the first course of action is special exercises taught by a rehabilitative specialist. These have to be learned and replicated. Generally, you need about a dozen sessions of an hour each, separated by a week or two.

Whether or not this will help at his age is problematical.

Maybe yes. Maybe no.

But this is what should be done before considering surgery.