What is your doctor’s advice regarding rest. The period of rest would depend on severity of the condition and presence of neurological loss.

Please follow your doctor’s advice.

There are different protocol of duration of treatment varying from 9 months to 1.5 years. Again, your response to treament would guide the duration.

Did you see a doctor? I think you need ot see one.

Hi, Did you see a doctor?

But i am a young hypertensive since two years(Amlodipine 5 and metropronol 50 daily) . I am having numvbess in my left leg, feeling difference in my lower left leg while walking . i do have pain inmy neck. smtime sudden spinal pain and have to take the injection(Dexona?)..

Is this signyfy a bone/nerve TV..
Please suggest i am about to leave india. got 457 visa 4 austraila.

sushil

1. AKT 4, AKT 3 and AKT 2 are used in sequence for Tuberculosis treatment. The condition is gauged from clinical improvement and not MRI.

2. Surgery is decide based on many factors like no response to treatment, worsening on treatment, reaching a plateau etc.
Most of the surgeries are performed on patients with neurological deficits.
3. If it is tubercular, yes!
4. It varies from patient to patient and level to level but mostly fall between 3-6 months.

First sign that we look for is clinical improvement and not on MRI.

If you think that he has shown no improvement in this period, diagnosis should be established.
Biopsy may not be bad idea if there is absolutely no improvement.

Till now steroid have masked the symptoms and signs.

Discuss the things with your doctor and if that does not help, getting another opinion in person from another specialist is an option.

My nephew had back pain for about 3 months on/off and MRI done showed findings suggestive of Kochs.
He is 24 yrs old. He was diagnosed with this in mid August.
He did not get biopsy but based on the MRI findings, it was diagnosed as Potts spine at L2verterbral bodyl and superior end plate of L3 also. He was started on Ofloxacin, INH, Rifampin, Ethambutol, Pyrazinamide, Pyridoxine and steroids also as he had mild soft tissue swelling and epidural enhancement. He was on steroids for aboiut 3 1/2 months as was tapered to 10 mg and stopped now. As long as he was on the steriods, he did not have any pain on a daily basis except for few days of pain here and there. Now after he stopped steroids, he is having pain in the back, stiffness like before the diagnosis, also has severe neck pain, stiffness, body aches. MRI done after 4 months shows no change in the findings.

Can we except to see bony improvement or soft tissue signal improvement in 4 months?

Doctor says, he has no motor deficits, no need to worry but consider getting biopsy.
I would like to know that if there is no worsening, is it a good sign that meds are working and so no worsening is seen.

Thank you so much,
Asha