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Case
of Lumbar
Spondilitis (spondylitis).
by Dr. Rajesh Shah, M.D.
A 50
years old, lady (Pin Number L-9761) approached us for her
severe low back pain.
She
had complaints of low back pain since 3 years. She
experienced very severe pain while walking. She
experienced severe heaviness in both her lower legs on
walking for some time. She could not even walk for short
distances; she would get cramps and pain in her calf on
walking for more than 100 feet. Then she was compelled to
sit down for five minutes. She had tingling and numbness
in both her legs, suggesting of compressive neuropathy.
Her mobility and daily routine was significantly affected.
She
also had pain in her knee joints.
Since
last few weeks she felt feverish, dullness, restless and
lethargic. She did not feel like going out of the house.
She did not feel like talking with others. She preferred
solitude.
She
had developed Diabetes since last 3-4 years. She was
detected as being hypertensive since the past one year.
She had also developed drug induced gastritis.
Her
case was taken in detail:
She
was a stout lady; she would get generalized perspiration
all over the body. She was sensitive to cold air and her
complaints worsened in the winter.
Her
sleep was disturbed. She would get up two to three times;
she was passing through anxiety and had excessive
thoughts, disturbing sleep.
She
described herself as sentimental, irritable, anxious and
worrisome.
Investigations: She was suggested scans before starting
the treatment. Her MRI Lumbosacral spine report suggested
Moderate degeneration and canal narrowing at L4-L5 and
L5-S1 levels due to disc bulges, factal arthropathy and
ligamental flavum thickness. Superimposed large right
postero lateral herniation with inferior migration of
L5-S1 disc impinging on the right nerve root.
Based
on the history and MRI findings, Dr. Shah prescribed Sepia
30. Within 8 weeks she saw dramatic improvement and she
could walk long distances. Her tingling and numbness
disappeared and her heaviness in legs also reduced
appreciably. She discontinued pain killers in a few weeks.
She continued to improve with the medicines.
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