Dear Dr. Sood,
Assuming that the paralysis and the sensory loss has been present for about
two years as well, I'd think there's little hope of recovery. I'd neither
know any conservative method that could help. Maybe surgery, but I doubt
that would still help in this stage, apart from the fact that she doesn't
want it.
Would it be an idea to approach the problem from the "other" side: make her
disability as small as possible? E.g. by making a peroneus spring (if this
is the correct translation from Dutch): a device that automatically lifts up
her foot every time she takes a step? That might prevent problems in the
future with the leg, since she will then get at least a bit of a normal
walking pattern.
I'd be very curious though whether someone else knows anything.
R.,
Frank
----- Original Message -----
From: "Dr. S.C. Sood" <[log in to unmask]>
To: <[log in to unmask]>
Sent: vrijdag 24 augustus 2001 18:42
Subject: back pain & disc prolapse.
My dear friends,
I was just wondering if anyone on list has any personal
experience of treating patients who have pain no more but suffer from
constant paresthesia and foot drop. I have recently taken up one such case
,40yrs old lady developed severe back pain while lifting a object in flexed
position 2 yrs back, unfortunately she went to a local milkman cum bone
setter who did something that not only peripherlized pain but also caused
sensory loss she was happy because the back pain was reduced remarkably she
went to him three times and as the result now she walks with high stepping
gait with foot drop and sensory loss .MRI confirmed L4/L5,L5/S1 with neural
canal narowing and compression of left nerve roots.No dural signs(slr is -ve
CSS -ve )No bladder bowl involvement.As she is no pain she is not willing
to consider surgery.
Of all the back pain cases we treat
conservatively the one with foot drop are most referctory to the
treatment.I was wondering how do you treat this kind of cases.
With regards and best wishes.
Dr.Sarveshwar Sood,
Institute of Conservative Care Of Spine.
Orthopaedic Surgeon & Head Department of Physical
Medicine & Rehabilitation,
Member American Academy Of Pain Management.
S.B.L.S.Hospital
812/1,Housing Board Colony
Model Town,Jalandhar city
Punjab State.India
E-mail [log in to unmask]
http://personal.vsnl.com/sarveshwar
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