Conversation: The conversation between human and AI assistant.
[|Human|] Hello on December 19th due to the ice we got i was walking in house and fall from top of stairs about 4 feet and land on bottom, i landed on my back more on the left.side ,since then i have pain in my left kidney area ,i also get sharp pain in back along the side of spine with movement, bending over just a little i will get tingling in lower legs both and in both.feet, also happens when sitting certain ways,on toliet, certain chairs ,if i lay down a certain way.too, i also get tingling in fingers, what could i have done, is this something i should be worried about,seen for,it seems to be getting worse.  Thank you for help
[|AI|]  Hi, thanks for writing to Chat Doctor. Based on the description of your symptoms, it is highly suggestive that you have suffered a Lumbar disc prolapse (due to fall) that is causing pressure over the adjacent nerve roots resulting in articular pain (sharp & tingling pain) down the legs. An MRI scan of the Lumbar spine which help in diagnosing the severity of the problem. The initial management for this condition is by conservative measures as follows - Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though.- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. If you want to bend forwards, do it with your hips and knees flexed.- Avoid lifting heavy weights as it imparts more strain on your back-Use a lumbosacral back support to stabilize your spinal muscles-Use analgesics like Advil or alive and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain.- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. There is good evidence that epidural injections can be successful in 60-70% of patients who have not been helped by 6 weeks or more of conservative management (nonsurgical care). Hope this information is helpful. Good day