Numbness In right Leg and Lower back pain when start walking

[riazqadir]

Hi ,
I got an accident before 5 weeks i was trying to lift some computer from ground. I did feel pain in my lower back and and i feel like some thing happend eg. (tick. tick tick ). I had pain but was able to go home by walk.
After 2 days i got better. Again after 1 week i did the same thing but this time i feel lot of pain and continues numbness in my right leg.
Now after 4 weeks after the 2nd accident i feel pain when i walk and my right leg is weeked even i cannot get up staris and i cannot walk or stand on my right heel.
Doctor told me it could be disc hernia in L5-s1 or Muscle Spasm cuz back is complicated and gave me Celebrex to eat.
Please suggest .
Thnaks
R

[ggreg]

I hope you're seeing a neurologist soon, to go over your scan and talk with you about a treatment plan.  I don't like the sound of your spinal canal being affected by the bulging disks.  And the compression of the "cauda equina" nerve root is what I was thinking had happened, that's the group of nerves that come out of the very lower back and then run down into the legs.  But I am glad you are feeling better.  Thanks for the update and keep us posted, especially as relates to visiting a neurologist.

[riazqadir]

MRI of the lumbar spine.

Technique: a routine MRI of the Lumbar spine was carried out.

FINDINGS.

Th central spinal canal is congentially small due to short pedicles.

There are superimmposed disc degenerative changes at the levels of L1-L2 and L2-L3, with signs of disc desiccation. At L1-L2, there is posterior disc bulging resulting in mild to moderate central spinal narrowing, The neuroformina are patent.

At L2-L3, there is posterior disc bulging and hypertrophic changes of the facet joints and ligamenta flava resulting in severe central spinal canal stenosis with signs of compression of the dural sac and nerve rootsof the cauda equina. The neuroforamina are patent.

The levels of L3-L4, L4-L5 and L5-S1 demonstrate normal morphology of the intervertebral discs.There is no evidence of significant abnormality at these levels.

The conus medullaris is seen at the level of T12-L1. Thereis no evidence of paravertebral abnormality.

CONCLUSION:

There is a congenitally small central spinal canal with superimposed disc degenerative changes at L1-L2 and L2-L3.

But I am get little better now. still tacking  NSAIM (CELEBREX)

[Dr. A. Srivastava]

Hi, There is a definite possibility of disc hernia or prolapse after accident which your doctor might have diagnosed after scan. In slipped disc or disc prolapse conditions symptoms may originate due to nerve root pressure, pressure on the spinal cord and pressure on the tail bone. Common symptoms could be pain radiating to the arms or legs, leg pain and numbness, tingling, or weakness and even paralysis of muscles. Warning symptoms can include loss of control of the bladder function, paralysis & spasticity of both the legs. Since you are suffering continuous weakness and in right  leg, please follow your doctor’s advice or arrange an appointment with a neurologist right away. Further referral to a physiotherapist for spinal exercises could be beneficial and may produce relief of symptoms. Hope this helps. Take Care & Stay Healthy!!!

[ggreg]

Well, the doc may be right, and also could be you also have a pinched nerve, there are nerves that run out of the lower spinal cord and into the legs.  A nerve can get pinched off by swelling or pushed on by a herniated disk.  The doc sounds like he's taking the moderate treatment approach by giving you medicine, altho I'm not too sure about the one he gave you.  But he should also should have probably recommended physical therapy for you.  A physical therapist can teach you exercises that will strengthen the muscles that support the back, and also increase flexilibity in a gradual way.  But to order PT, he would usually order at least a black & white X-ray of your lower back, and even better is a scan.  

But since that didn't happen, usually hernias will subside in swelling and pain in time, altho a month is rather long.  Same thing with muscle spasms, if you didn't actually twist or compress the spine.  I can give you two tips that shouldn't hurt you in any way, that will help your back improve temporarily until it gets itself straight.  One is to apply heat to the injured back area, and the other is to lay flat on the floor with your legs bent or up in a chair.  That maneuver takes all the weight off your spine, and thus makes it stop hurting somewhat.  But if this discomfort and immobility continues much longer, I think you should seek a second opinion.  Try taking some ordinary aspirin, it is an anti-inflammatory, and thus should help reduce swelling, which may be one of the causes of your pain and nerve dysfunction.