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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Spondelisthesis. Having Pain In Lateral Calves, Lumbar Back And Knee. Suggest

I am 72 yr old woman, have spondelisthesis and have mod to severe pain in my lateral calves,, particularly the right lateral calf. I have had knee replacements 10 and 9 yrs ago and now my knees are painful. I participate in physical therapy but this has not helped my lumbar back, knee and lateral calf pain. my email address is YYYY@YYYY .
Thank you
Thu, 18 Jul 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

Management of spondylolisthesis depends on the Grades of severity.
For Gr 1 & 2 - Conservative management by
* Bracing - a lumbosacral support
* Activity modification - avoid bending forwards and lifting weights
* Physical therapy - strengthening of lumbar spinal muscles

For Gr 3 & 4 - who are at risk of progression, surgical fusion is recommended.

Epidural steroids may help in alleviating the radicular pain in legs.

Hope this information in helpful. Good day
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Have Spondelisthesis. Having Pain In Lateral Calves, Lumbar Back And Knee. Suggest

Hi, thanks for writing to HCM. Management of spondylolisthesis depends on the Grades of severity. For Gr 1 & 2 - Conservative management by * Bracing - a lumbosacral support * Activity modification - avoid bending forwards and lifting weights * Physical therapy - strengthening of lumbar spinal muscles For Gr 3 & 4 - who are at risk of progression, surgical fusion is recommended. Epidural steroids may help in alleviating the radicular pain in legs. Hope this information in helpful. Good day