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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pain In The Lower Back Be Treated?

I had surgery to fuse L4,L5 and S1 9 moths ago and I am experiencing pain in my lower back right side radiating around and into my groin. I had 3 steroid injections in my hip because a recent mri showed a tear in my hip socket. My orthopedist said it was nothing more than burcitis and that the pain I was having was to do with my back. My neuro surgeon say the fusion is fine and healing well. What would you advise
Tue, 30 Jan 2018
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.

You may need to do MRI spine again to see for nerve compression

Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it.
If there is instability then fusion with fixation may help.
As per your previous surgery of spine now there is possibility of discitis, which can be confirmed by MRI with contrast or CT myelogram.

For these symptoms analgesic and neurotropic medication can be started.
Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.
Physiotherapy like ultrasound and TENS therapy will help
I will advise to check your vit B12 and vit D3 level.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.

Take care.


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How Can Pain In The Lower Back Be Treated?

Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. If there is instability then fusion with fixation may help. As per your previous surgery of spine now there is possibility of discitis, which can be confirmed by MRI with contrast or CT myelogram. For these symptoms analgesic and neurotropic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help I will advise to check your vit B12 and vit D3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.