History:
The patient came to Spine Surgery Specialist in Pune Dr. Sangram Rajale with experiencing pain radiating down the legs for six months, which worsened after a sudden movement during travel 12 days ago. The pain increases with movement but improves with medication. She also has a history of neurogenic claudication, with leg pain after walking for 5 minutes. She reports tingling, numbness, and sleep disturbances, as well as a history of wearing special footwear.
Examination Findings:
Examination of the Lower Spine at Top Spine Pain Clinic in Pune Dr. Sangram Rajale :-
Tenderness is felt in the lower back (lumbo-sacral region) and the left sacroiliac joint.
The patient has difficulty walking on heels and toes.
A straight leg raise (SLR) test is positive on the left side, indicating nerve irritation.
MRI Lumbar Spine:
- A tear in the outer part of the disc at L4-L5, with disc material pushing out and pressing on the nerve, causing mild nerve impingement.
- Similar findings at L5-S1, with disc material pressing on the spinal cord and nerves, affecting both sides.
Operation Performed:
The patient underwent a left-sided L5-S1 microdiscectomy on 10/09/2024 under general anesthesia, performed by Top Spine Specialist in Pune Dr. Sangram Rajale.
Condition at Discharge:
- The patient experienced immediate pain relief after surgery. She was able to walk on day 1, climb stairs on day 2, and was discharged on day 3 after confirming the wound was healthy.
At the 15-day follow-up, the patient reported feeling as if no surgery had been done.
Three months after surgery, the patient is completely pain-free, able to do all routine activities, including climbing stairs and standing for long periods. She is very happy and satisfied with the results and expressed gratitude towards Best Spine Surgeons in Pune Dr. Sangram Rajale.