Hai , I attended a lady patient aged 53 suffering from sever back pain since 6 years and kidney stone for the past 20 years. every thing appers normal in Abdominal scan. MRI of Lumbar spine shows the following results;
There is mild anterior listhesis of L4 over L5(correlative C.T screening shows bilateral spondylysis at L4 and L5 pars interarticularis)
The L4-L5 intervertebral disc shows loss of hyderation and posterior prolapse with indentation of the theca.
Air is seen within the L4-L5 interverteberal disc.
Screening of the rest of the spine shows mild posterior prolapse of C5-C6.
Numbness in legs and swelling bellow the right knee with sever pain at the backspine after long standing.
As I am a beginner ,what point should be taken to cure her back pain and kidney stone permanently.
Thanking you sir's.