Dear Frank Conijn,
I am surprised and impressed about deep insight
you have about back pain problems and hence always
value your opinion,In this case foot drop is 6 months old and partial
.What I am wondering is let us for some time forget that she has no pain
,if we wish to try Mechanical therapy in this case will you recommend
Extension or flexion principal for the reduction of root compression by
disc.Along with this I am also trying lumbar traction .As she is not willing
for surgery we can not say nothing is possible.Shall we can try the
decompression of nerve roots by EIL or widening of canal by flexion of
lumbar spine if you have to choose which on you will go for.....
Thanking you,
Dr.Sarveshwar Sood,
----- Original Message -----
From: "Frank Conijn" <>
To: "- for physiotherapists in education and practice"
<[log in to unmask]>; <[log in to unmask]>
Sent: Saturday, August 25, 2001 1:56 AM
Subject: [McKenzieStudy] Re: back pain & disc prolapse.
> 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.
>
> > 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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