L4-L5 Disc Prolapse with Sciatica
Musculoskeletal Disorders Hari•Gender: Male•Age: 48 years (Adult)• Chronicity: 6 months
Presenting Complaints & History
- Sharp lower back pain radiating down the left leg to the foot
- Numbness and pins-and-needles sensation in the left foot
- Aggravation of pain when walking or standing (>10 mins)
- Inability to bend forward
Clinical Assessment
Diagnosed with lumbar radiculopathy. Advised spinal microdiscectomy due to persistent nerve compression and pain.
Diagnostic Investigations: Lumbar MRI showing posterolateral disc herniation at L4-L5 level causing severe left L5 nerve root compression; SLR positive at 35 degrees.
Homeopathic Therapeutics & Management
Colocynthis to target radiating neuralgic pain relieved by pressure, and Hypericum Perforatum to promote nerve sheath repair and resolve numbness.
Lifestyle & Nutritional Support
Use of an orthopedic mattress; strict avoidance of forward bending and weight lifting; daily practice of gentle lumbar extension exercises.
Clinical Outcome
Follow-up Period: 5 months- Radical pain fully resolved, returning normal walking tolerance
- Complete resolution of left foot numbness
- Straight Leg Raise (SLR) improved to 75 degrees
- Microdiscectomy avoided; back strength restored
✓Medically reviewed by Dr. Navaneeth K. Unni
View credentials →#Sciatica#DiscProlapse#L4L5#NerveCompression#Hypericum#Colocynthis
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