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Spinal Tuberculosis
Dear Sir/Madam,
Since some months back(approximately 3-4) i was suffering from mild pain from back to right leg, when it becomes fever and severe pain from back to right leg i saw a orthopaedic surgeon he suggested me to MRI and MRI results are-:
OPINION
1. MR images revealed altered signal intensity involving D11, L5 vertebrae and sacrum
with small presacral soft tissue component on left side, most likely inflammatory/?
tubercular. Further evaluation and follow up advisable to rule out any other possibility.
2. No significant compressive lesion detected.
Then doctor refer me to Neurosurgeon then he started my spinal tuberculosis treatment but my question is that i have infection in left side but having pain in right side and other question is after taken medicines one and a half month why still have severe pain in right side leg from back to some above and some below portion?
please suggest.
Regards
Shivansh Khare
Answers (4)
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Bed rest , medication and wait and watch .
Lifestyle modification in terms of posture .
Still doesn’t get relieved then have to think of stabilisation of spine .
Plz upload mri and xray images
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Need to look into further blood test to conclude the diagnosis primarily need to confirm is it Tb then if at all not confirmed take just take antibiotics for other infections like augmenting 625 mg thrice a day for 5 days
Next Steps
See the results need to Be fallowed up regularly the shift of pain may be because of local pressure on nerve root
Health Tips
Take bed rest unless it subsides
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
4 yrs exp
Ahmedabad
Need to see mri film and report with blood report
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Dr. Tushar Kadam
Orthopedic Surgeon
11 yrs exp
Thane
Providing MRI film images would be helpful. Based on the information you have provided, you have started anti TB medications. In cases of spinal tuberculosis, these need to be taken for several months (on an average around 12-16 months). There are government programs that monitor the treatment scheduled for patients with tuberculosis that you can access. In some cases the treatment is started after obtaining a sample by biopsy (can be done as a day care procedure under CT guidance). This allows for identification of the tuberculosis organism and assessment of sensitivity to anti TB medications. So check with your treating doctor regarding the same.
Next Steps
Review again with your treating doctor, regarding present clinical status and whether any change in medication needed based upon antibiotic sensitivity. Meanwhile it is not advisable to discontinue TB medications unless specifically advised to do so by the treating doctor since irregular intake of TB medicines leads to resistance of the bacteria.
Health Tips
Patients with TB benefit from high protein diets, oral calcium with vitamin D3 supplements. Avoid strenuous activity, running, jumping etc.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.