### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I had a LP sept.13 2011 woke the next day with extreme lower back and leg pain (this was my 6th or 7th LP since Dec.2005). I m still having issues. When I called my Doc. his 1st. question to me was are you sure you didn t fall . I went back in on sept.14 for an MRI. I was told that he didn t see anything overtly wrong. He sent me to Physical Therapy,this is my third week (no better) my PT says she doesn t know if she can me. I m not sure what to do next.

### output:

If there is no trauma or no intervertebral disc space reduction seen which exerts pressure on local nerves, other reason may be osteophytes, sometimes not caught radiologically when in cartilaginous stage. If that also not the reason, there is vitiation of Again Vāyu - that stays in Coccyges region to lumbar region - going by Ayurveda principles. Basic thing is the same. Theories are explained differently. To my own patients who are sincere to follow, I would recommend Yoga postures to follow those are simple and free of cost. Some deep breathing also helps.Painkillers is no remedy. Rather Ayurveda's Rumply forte tablets and Rumply liniments gentle massage over the region after hot fomentation, have given stable results to many of my patients. These are not painkillers but safe herbal products which strengthen muscles and joints of the area that helps maintain proper gap in IVD spaces and also strengthen nerves. This is holistic approach of Ayurveda. Totally safe. But slow to act because these are not synthesized Chat Doctor. So Yoga and herbals are choicest for you if you like to get permanent relief. Some Ayurveda doctor may guide you more on what to eat, what not to eat and other precautions for rapid effect. You may also revert to us through Chat Doctor once you decide to start it. Hope it helps you.