Lumbar Spinal Treatment in Pune Helped a 45-Year-Old Man Walk Again
A 45-year-old man came to our spine clinic in Pune with severe back and leg pain that had lasted for 5 years. The pain, especially on the left side, had worsened over time and made daily life very difficult.
He experienced sharp pain shooting down both legs, along with tingling and numbness—common signs of spinal problems. Due to neurogenic claudication, he couldn’t stand or walk for more than 10 minutes. Even simple tasks became hard, and he had to fully rely on his wife.
This case shows how important it is to seek the right Lumbar Spinal Treatment before the condition gets worse. At our clinic offering advanced spine treatment in Pune, we provide both surgical and non-surgical care to relieve pain and restore movement.
If you’re facing similar symptoms, don’t ignore them. Lumbar Spinal Treatment at the right time can help you live pain-free and active again.
On Clinical Examination:
- Gait: List to the right side
- Toe Walk: Difficult on the right side
- Heel Walk: Not possible due to pain
- Lumbar Spine Range of Motion:
- Extension: Catch present with pain
- Flexion: Painful
POWER
RIGHT
LEFT
EHL.
5/5
5/5
EDL.
5/5
5/5
FHL.
5/5
5/5
FDL.
5/5
5/5
Ankle DORSIFLEXION
5/5
5/5
ANKLE
PLANTAR FLEXION
5/5
5/5
KNEE FLEXION
5/5
5/5
KNEE EXTENSION
5/5
5/5
HIP FLEXION
5/5
5/5
REFLEXES:
Plantar
FLEXOR
FLEXOR
Knee
NORMAL
NORMAL
Ankle
NORMAL
NORMAL
Sensations intact in Bilateral Lower Limb
Slouch test positive on left side.
Distal pulses felt.
Examination & Findings: Severe L4-L5 Slipped Disc Detected
- Walking became painful and difficult, especially on the right side, due to pressure on spinal nerves.
- Lower back movements were restricted and painful, affecting daily activities and mobility.
- Despite the pain, muscle strength and sensations in both legs remained normal, indicating localized nerve compression.
- Clinical tests revealed significant nerve root compression, a common sign of spinal disc issues.
- MRI and X-ray reports confirmed a Grade 3 L4-L5 slipped disc, causing severe nerve compression and lumbar canal stenosis.
This diagnosis clearly pointed to the need for lumbar spinal treatment to relieve pressure on the nerves and restore normal function.
Radiological Investigations for Lumbar Spinal Treatment:
- X-Ray of Lower Spine (09/10/2024 – Front and Side Views): Showed vertebra misalignment at L4-L5 (spondylolisthesis) – a condition where one vertebra slips over the one below, often causing chronic lower back pain and nerve-related symptoms. This confirmed the need for targeted lumbar spinal treatment to prevent further nerve compression and mobility issues.
- CT Angiography – Legs (08/10/2014): Report showed normal blood flow in both lower limbs, effectively ruling out vascular causes for leg discomfort. This further pointed toward a spinal origin, reinforcing the need for lumbar spinal treatment.
- MRI Scan of Lower Back and Full Spine (15/10/2024): Revealed signs of age-related disc degeneration (spondylosis) in the lower and cervical spine. Also showed Grade 3 L4-L5 vertebra slip, with the disc pressing on the spinal cord and nerve roots, causing spinal canal narrowing. These findings clearly indicated the need for advanced lumbar spinal treatment to relieve nerve pressure and restore function.
- Post-Surgery X-Ray (09/10/2024): Confirmed successful spinal alignment using orthopedic implants following minimally invasive lumbar spinal treatment, aimed at stabilizing the spine and relieving nerve compression.
MRI:
Operations or Special Procedures Performed:
Before considering spine surgery, nonsurgical treatment options including rest, NSAIDs, and physical therapy were attempted. However, due to the severity of the disk rupture and potential risk of cauda equina syndrome, surgical intervention was deemed necessary.
On 08/11/2024, under general anesthesia, the patient underwent the following procedures as part of his herniated disc treatment:
• L4–L5 Laminectomy
• Decompression of neural elements
• Transforaminal Interbody Fusion (TLIF)
• Spinal Fixation
These procedures, a form of advanced slip disc treatment, were performed to relieve nerve compression, stabilize the spine, and restore spinal alignment. The surgery addressed the damaged annulus fibrosus and aimed to correct the slip disc meaning a displacement of the vertebrae.
Recovery After Surgery:
Mr. Mandol demonstrated an excellent post-operative recovery:
• Patient remained stable with significant pain relief, indicating successful treatment of his slipped disc
• Surgical wound was clean and healing well
• Mobilized with walker support, bearing full weight on both legs, a positive sign in herniated disc lower back recovery
• No signs of infection or fever observed
• Neurological functions intact; leg pulses were normal
Condition on Discharge:
- Patient was stable at the time of discharge
- Suture line was dry and healthy
- Patient was ambulating with full weight-bearing using walker support
- No episodes of fever or chills observed
- Sensations intact in both lower limbs
- Distal pulses palpable bilaterally