Back pain, doing physiotherapy for lumbar strain, tingling down right leg, CT shows mild degenerative loss. Suggestions ?
Patient: I got hurt at work and i'm  having back pain ..I went to the  work comp doctor and she said it was a lumbar strain so she  set me up with pt. ..I  have been doing pt. for 4 weeks and seeing the doctor every week..  when I walk I get tingling down my right leg ..I have had a ct scan done at the   local hospital because workman comp wouldn't do one .. The ct said Mild degenerative loss of normal disc height at t11-12,t12-l1and l5-s1.mild disc bulges at multiple levels ,with endplate osteophytesat l5-s1 and mild to moderate bony foraminal narrowing on the right and mils foraminal narrowing on the left at l5-s1.mild multilevel lower lumbar spinal canal narrowing secondary to facet arthropathy and disc bulges ..no acute paraspinal soft tissue abnormalitynonobtructing left nephrolithiasis.. what do nu think I should do all I wont to do is stop hurting and find out what's wrong with me Doctor: Hi,Thanks for posting your query.Tingling and numbness in lower limb seems to be due to pinched nerve cause by bulge disc and osteophyte formation.Physiotherapy in form of exercises and lumbar traction is advisable to manage the condition.Avoid forward bending and heavy weight lifting. If pain persists, consult spine specialist for further management.Hope this helps you.Regards,Dr Saurabh gupta