These videos are not scripted its our routine academic case discussion which we are shooting and uploading for our subscribers.. Audio quality will improve within few days
Good discussion but a few key points. While an X-ray is good for starts, for any radicular symptoms an MRI is certainly better from the get-go. It would even tell us if any bony suspect bony involvement such an occult end plate compression is acute or not. As far as treatment goes, rather astounded that your neuro guys would jump into surgery. Reeks of a blinded western mindset or commercially driven approach. Perhaps it would be nice to get some old timers in spine surgery like Dr Thomas Mathew to comment on how he used to treat such cases with amazing success (conservatively). I would certainly agree with the mentor suggesting steroids, pain killers and muscle relaxants on admission and taking things from there. Even a simple discectomy comes with high risks of dural tears, recurrent discs, post- op fibrosis etc to name a few. We seem to be forgetting our principles of doing less harm. Anyways , good discussion, and good work !!
What is the adjunct that should be asked for before starting any NSAID other than asthma and CKD and allergy the one that dr Binu said which occurs after oral administration ?
I am from Terna Medical college, Navi Mumbai, 22years old, I go to the gym, I am having lower back spasm from 3 months I have taken 3 course of Muscle relaxants what should I do?
NSAIDs should be avoided in gastric/peptic ulcer disease either in oral or intravenous form as they inhibit prostaglandins which are important in maintaining gastric mucosa.
