What is the treatment for right leg radiculopathy?

Question

Hi doctor,

I am a 35-year-old with flank pain and right leg radiculopathy. Pain has now settled with pain relief, but the MRI shows severe spondylodiscitis involving the L5 to S1 disc space with extensive bone marrow edema, and endplate destruction.

The inflammatory process extends to the paraspinal, epidural region, and anterior sacrococcygeal and results in multiple microabscess formation in bilateral iliopsoas muscles. There is marked neural compression of the L5 and S1 nerve roots. Could TB be causing it? Does she need steroids, and can this lead to paralysis?

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I am very sorry about your medical condition, and I am glad that you are paying attention to changes in your body system. Regarding your symptoms, I believe you have developed spinal arthritis that involves the lower extremities to cause leg paralysis due to spinal cord compression following the inflammatory swelling and edema formation and this may be caused by TB, cancer, medicine side effects, or trauma. Any history of cough, night sweats, and weight loss to rule out tuberculosis?

Please take the following:

Celecoxib 200 mg twice daily for one month.
Robaxin (Methocarbamol) 200 mg twice daily for two weeks.
Dexamethasone 4 mg for two weeks.

I hope this information will help you.

Thanks.