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Nerve Problems From Mild Occlusion Of Foramen And Some Arthritis

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Posted on Tue, 16 Oct 2018
Question: nerve problems from mild occlusion of foramen and some arthritis of facet joints be revealed on emg nerve conduction test? strength tests normal, emg normal blood tests normal. still have intermittent pain right leg, intermittant weak feeling. mild arthritis both hips. epidural had little effect. unconfirmed celiac. no symptoms. flunked blood test. suffer from depression and bad anxiety (GAD). GP feels weakness related to anxiety. Pain specialist wants to do another epidural closer to facet joints. mri shows mild hip arthritis as well. had bursitis. hip area still sore. pain moves around left leg. front , sometimes back. sometimes only top or bottom. no foot involvement
thoughts please? whose right. more shots? surgery? physical therapy. anxiety treatment? ps Xanax helps pain more than tramadol. gabapentin helps some.
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Follow up: Dr. Dr. Praveen Tayal (3 minutes later)
tramadol no effect on pain, gabapentin helps sometimes. benzodiazpene seems to have most effect. if you want mri I would find a way to get it to you
doctor
Answered by Dr. Dr. Praveen Tayal (13 hours later)
Brief Answer:
Nerve related pain likely.

Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns ,
The pain that you have in the hip joint seems to be a nerve related pain. Even if all the investigations are normal there can be some mild nerve root irritation. The improvement on taking gabapentin further confirms this. Such pains have a psychological factor also and is aggravated by anxiety.
You need to add methylcobalamin supplements also after getting Vitamin B 12 levels evaluated. Regular physiotherapy will also help in the long term to improve this pain.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12312 Questions

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Nerve Problems From Mild Occlusion Of Foramen And Some Arthritis

tramadol no effect on pain, gabapentin helps sometimes. benzodiazpene seems to have most effect. if you want mri I would find a way to get it to you