The response to Part I of this article which was published last week was quite substantial, both from within the country and abroad. There are many who suffer and I hope and believe that this information will take away some of the fears acquired from hearsay about this problem and its treatment. In many cases there is a cure from this often debilitating pain and they can lead a normal, comfortable life. However, we should always remember that, beside good treatment, it is Allah who gives us health again when we are sick. He gives us life and death and it is He who will raise us again after death.
I had read somewhere that the Pharaohs of Egypt were said never to get pain; it is only the soft-hearted who suffer! All kinds of treatments and medications failed to achieve any results. My hopes that a week or two of treatment would do the job were soon shattered. Meanwhile, Dr Riaz Hussain Dad, principal of Punjab Medical College, the chairman of the Convocation Programme, Dr Mian Farook and the graduating doctors requested me to be the chief guest at the annual convocation on Nov 26, 2011. I simply could not refuse, even more so when I heard that my dear old friend and Pakistan’s renowned psychiatrist, Dr Malik H Mubbashar, vice chancellor of the University of Health Sciences, was also attending. As there is no air travel to Faisalabad, I travelled comfortably by car, but the seven hours’ drive both ways proved too much for my back. The next day I could barely walk and immediate tests at Shifa International Hospital were suggested. Three tests were prescribed: nerve conduction study (NCS), electro-myelography (EMG) and magnetic resonance imaging (MRI). The first two were rather unpleasant, but nothing compared to the pain I already had. The large team of specialists – Prof Khaleeq uz Zaman, head of the Neurology Department and his charming wife Dr Samina Khaleeq (PIMS), Dr Ismael Khatri (Shifa), Dr Kamran Majeed, Dr Saleem Qureshi and Dr Moghees Ikram (KRL) – came to the conclusion that it was a case of prolapsed disc compressing a nerve.
Dr Khaleeq explained that God has constructed our spines with 33 bones called vertebrae, but these are not rigidly connected. Since He wants us to move our back easily, He has put flexible, soft but firm circular cushions in between these vertebrae which also act like shock absorbers (in the same way as those of a car, which absorb some of the shocks while driving over uneven roads). In this way our back is not hurt when we jump or are jolted. These cushions (which are called discs) are very flexible when we are young, but as we get older they lose some of their water content and proteins resulting in dehydration and weakness. A sudden jolt or shock, a carelessly lifted heavy weight, a long flight or a long car drive may then cause the disc(s) to rupture the covering and the consequent prolapse compresses the nerve root located immediately next to it. This kind of prolapse occurs at the lower level of the spine, known as L4 and L5, which is the most weight-bearing area. Initially the compressed nerve reacts in the form of pain, and then it becomes weak and affects the ability to walk.
After initial medication and physiotherapy fail to get rid of the severe pain, doctors normally advise MRI, NCS and EMG tests to be done. If a prolapsed disc is diagnosed, surgery is usually advised to remove the prolapsed part of the disc and relieve the pressure on the nerve. This is where complete faith in the Almighty and the skills of your surgeon are required, but the success rate is much higher than we lay people think. Any procedure requiring anaesthetics involve some risks, but we face risks every day of our lives. Once you leave your home or board a plane, one never knows what will happen. When pain becomes unbearable and one cannot lead a normal life, all options need to be weighed up. One should not delay consultation or be afraid to consult a good neurosurgeon in the case of backache and then his/her advice should be followed up. If you have a slipped or prolapsed disc, normal medications don’t help and may have undesirable side effects. High doses of pain killers like Paracetamol and Parcetamol with codine can cause constipation and patients need to drink a lot of water and/or juice with them and eat foods high in fibre. Anti-inflammatory drugs like Ibuprufen, Diclofenac, Naproxen, etc., are not supposed to be used by patients with asthma, high blood pressure, kidney problems or heart problems. Muscle relaxants like Diazepam may cause sedation and/or confusion. The only viable option is to see a neurosurgeon immediately. I did just that and, thank God, after surgery I am relieved of the unbearable pain.
I was overwhelmed by the love and affection shown after my operation and would like to take this opportunity to thank everyone. I received thousands of messages, bouquets and get-well cards and am extremely grateful to all the well-wishers. Bouquets, to name but a few persons, were received from PM Gilani, Mian Nawaz Sharif, Mr Shahbaz Sharif, Sen Pervez Rashid, Interior Minister Rehman Malik and Sen Fasih Iqbal. I was visited by Gen Mirza Aslam Baig, Gen Riaz Ahmad Chowhan, Brig Iftikhar, Mr Liaquat Baloch, Sen Haseeb Khan, Dr Masood Hameed Khan, Chaudhry Shujaat Hussain, Mushahid Hussain Syed, Sohail Ahmad (of Hasb-e Haal), federal minister Mr Ghaus Bux Mehar, former Balochistan governor Naseer Mengal and many other old friends who came to enquire after my health. In addition to all the doctors already mentioned, I am extremely grateful to the duty doctors and nursing staff at KRL Hospital (Nuzhat Rehman, Aqsa Zafar, Janasheen, Zarrin Gul, Zaitun, Shamsa, Sunaila, Ruby and many others) and the love and care shown by my wife, daughters and granddaughters. Their continued presence in hospital was a great source of comfort to me and helped me to cope with any problems that arose.
From my own experience I would advise anyone suffering from backache and who has not obtained relief from normal medication after 6 to 8 weeks: do consult a qualified orthopaedic surgeon or neurosurgeon. Have all the suggested tests performed and if the consensus is that surgery is required, have faith in Almighty Allah and in your doctor and have it done. Please never go to “magicians,” pirs or quacks. They never help and may actually harm you. It is not generally known, but many of our surgeons invoke the name of Allah before starting any operation or recite Surah Yasin, Surah Rahman, Alam Nashra or some other verse. It is a blessing from Allah to be treated in this way.
Copyright Thenews 26.12.2011
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