my brother (18 y) is suffering from lower back pain radiating to right leg. his lumbar spine mri report concludes minor disc bulge at l4-l5 without any significant spinal canal narrowing in lumbar spine. kindly guide about the report and what to do?

Question

I had back surgery back in december. A lumbar decompression due to spinal stenosis at l4-l5 level. I also have a bulging disc at the same level that they did a microdisectomy on. I continue to have severe burning pain down my right leg all the way to my

Answer 1

Sciatica: He has symptoms of sciatica which is an irritation/inflammation of the nerve going down the leg. The minor disc bulge may or may not be related but there is absolutely no need for surgery. This will resolve with time. He can use over the counter anti-inflammatory meds (ibuprofen ) for symptomatic relief.

Answer 2

? Peripheral : MRI does not explain the sciatica and may not fully explain back pain. Maybe there is sacroiliac dysfunction or piriformis syndrome? Regardless, get physical therapy

Answer 3

Nitroglycerin: Nitroglycerin relieves cardiac related chest pain by dilating the coronary arteries. These are the arteries that supply blood to the heart. Improving blood flow to heart muscle will relieve the discomfort caused by a partial blockage of the blood vessel with plaque.

Answer 4

Ntg: Nitroglycerine opens the blood vessels of the heart, improving oxygenation thus relieving chest pain.

Answer 5

↓es heart workload!: Nitric Oxide, long called Endothelial Relaxing Factor (http://en.wikipedia.org/wiki/Nitric_oxide & http://en.wikipedia.org/wiki/Glyceryl_trinitrate) mostly relaxes veins, thus ↓ing blood return to both right & left heart, less so arteries, ↓ing heart work load & may relax heart artery spasm at narrowing: ↑ing blood flow to heart muscle with ↓blood flow from which pressure/discomfort is perceived.

Answer 6

Yes: I assume you are talking of disc surgery, which the nerve involved. We have to consider two things. How chronic the painwas? How much the nerve injury is? It may take days? Few weeks? It may have residual pain for long time?

Answer 7

Not normal but: Ideally, everyone wants relief of all their symptoms. Sometimes there may be a co-existing neuropathy or even a compression neuropathy like a tarsal tunnel syndrome that nay gave not been diagnosed pre op. Sometimes even after a successful surgery in terms of freeing up the nerves they don't always fully recover. Get an EMG done and a repeat MRI with contrast to check for possible reasons.

Answer 8

Best to discuss: With your surgeon who knows your individual case.

Answer 9

Maybe: The burning pain in your chest is most likely due to the disc herniation touching/compressing the nerves that go to the area of your chest where you feel the pain. If the hernia gets bigger it can squeeze on that nerve further, and can cause permanent damage to this nerve, sometimes decompressing the nerve through surgery may help but not always, medications such as gabapentin, Cymbalta (duloxetine) may help.

Answer 10

Back pain: The back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement ... It sounds like you are experiencing nerve pain. Before we can say if this bad, we need to know how severe is your conditions. Please see a pain management doctor or spine surgeon, you might benefit from a comprehensive evaluation and treatment.

Answer 11

Can be a big problem: Severe headaches, accompanied by neck pain, could be a type of meningitis (serious infection around the spinal cord and/or brain), although the real flu can cause similar symptoms. Cold feet, chills, and tremors occur when fever is rising; sweating happens when fever is dropping. Light-headedness and vomiting make it all more worrisome. A trip to the doctor is needed to evaluate these symptoms.

Answer 12

Migraines: Migraines can cause feeling of lightheaded (aura) preceding a headache. You could have all the symptoms due to migraines. You could consult a neurologist or a headache specialist or a pain physician.

Answer 13

NO: No you should see your doctor first , for full physical examination, blood tests, endoscopic examination along with radiological tests to find the cause of your symptoms. Some one at your age a malignancy is unlikely, may be ulcerative colitis, or other conditions that could be cured and get it treated with out delay.

Answer 14

See a doctor: Sounds like it is time to see a doctor to find out what may be wrong. Cannot tell in this forum what may be the problem without more history & information. May need to have some tests performed.

my brother (18 y) is suffering from lower back pain radiating to right leg. his lumbar spine mri report concludes minor disc bulge at l4-l5 without any significant spinal canal narrowing in lumbar spine. kindly guide about the report and what to do?

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