Back pain radiating into leg-85 yr old male
MRI dated April 7th 2019 shows L$-L5 posterior osteophytes,dessicated discs, diffuse bulge with mild posterior central extrusion and adjacent ill defined isointense areas causing narrowing of spinal and lateral foramina-protruding disc with possible scar.Also findings indicate dessicated discs at multiple levels.Is surgery requires? Is age a factor? He had undergone laminectomy in 1975. What is the best possible line of treatment? He is on complete bed rest taking painkillers like maxgallin and voltaflam.
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Dr Anthony Gambale
The Causes of Low Back PainThere are many different conditions that can result in low back pain, including Due to the fact that there are a whole lot of things that can cause low back pain, and some of those things can be quite serious if left untreated, it is important to seek professional help. Chiropractors are the experts at diagnosing the cause and determining the proper treatment for low back pain. Here are some of the most common causes I see:SubluxationsWhenever there is a disruption in the normal movement or position of the vertebrae, the result is pain and inflammation. In the lumbar spine, these usually occur at the transition between the lower spine and the sacrum. Subluxations can lead to debilitating low back pain. Fortunately, subluxations are easily treatable and often times a significant reduction in pain is experienced almost immediately after treatment.Disc HerniationsContrary to popular belief, a herniated disc does not automatically mean that you are going to suffer from low back pain. In fact, one study found that almost half of all adults had at least one bulging or herniated disc, even though they did not suffer any back pain from it. On the other hand, herniated discs can be a source of intense and debilitating pain that frequently radiates to other areas of the body. Unfortunately, once a disc herniates, they rarely, if ever, completely heal. Further deterioration can often be avoided through regular chiropractic care, but a complete recovery is much less common.Sprains, Strains and SpasmsThis is commonly the source of low back pain among the weekend warriors. You know, the type who have very little physical activity during the week, but once the weekend arrives, they push themselves way too much. By the end of the weekend, they are lying flat on their back counting down the hours before they can get in to see their chiropractor. Overworking the muscles or ligaments of the low back can lead to small tears in the tissues, which then become painful, swollen and tight. StressWhenever you become stressed, your body responds by increasing your blood pressure and heart rate, flooding your body with stress hormones and tightening up your muscles. When you are stressed all the time, the chronic tension causes your muscles to become sore, weak and loaded with trigger points. If you are stressed out all of the time and you have low back pain, it is important to do some relaxation exercises, such as deep breathing, as well as to get regular exercise.Treating Low Back Pain With ChiropracticChiropractic treatment for low back pain is usually pretty straightforward. Most commonly, it’s simply a matter of adjusting the lower lumbar vertebrae and pelvis to re-establish normal motion and position of your bones and joints. Chiropractic for the low back has been repeatedly shown to be the most effective treatment for low back pain. In fact, major studies have shown that chiropractic care is more effective, cheaper and has better long-term outcomes than any other treatment. This makes sense because chiropractic care is the only method of treatment that serves to re-establish normal vertebral motion and position in the spine. All other treatments, such as muscle relaxants, pain killers and bed rest, only serve to decrease the symptoms of the problem and do not correct the problem itself.