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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Showed Multiple Pinched Nerves. Prescribed Injections Followed By Numb Tingling Feeling In Calf, Ankle And Big Toe. Help

I spent 4 days in an ER last week due to severe back and leg pain. Then I was given an MRI last Friday. Monday I was told that I have multiple severely pinched nerves and so my regular MD referred me for a series of injections. That Dr says he won't even review my case till the 6th. Meanwhile I am barely able to get out of bed. My concern now is that today my left calf, ankle and big toe have gone to sleep. Just a numb tingling feeling.



Tue, 5 Nov 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Based on the description of symptoms, it is evident that you have lumbar disc disease with radiculopathy. Epidural steroid injections will help in alleviating your leg pain for a few months.

The initial conservative management of your conditon is as follows -

- Avoid excessive forward bending activities as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc
- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done after the acute pain has subsided.
- Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful.

If all these measures fail to provide you relief within 6-8 weeks, then surgical decompression may be an option.

Hope this information is helpful. Good day
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MRI Showed Multiple Pinched Nerves. Prescribed Injections Followed By Numb Tingling Feeling In Calf, Ankle And Big Toe. Help

Hi, thanks for writing to HCM. Based on the description of symptoms, it is evident that you have lumbar disc disease with radiculopathy. Epidural steroid injections will help in alleviating your leg pain for a few months. The initial conservative management of your conditon is as follows - - Avoid excessive forward bending activities as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed. - Use a lumbosacral back support to stabilize your spinal muscles - Intermittent pelvic traction might be helpful to cause a regression of the protruded disc - Maintain optimum body weight,if you are obese - Avoid lifting heavy weights as it imparts more strain on your back - Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done after the acute pain has subsided. - Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful. If all these measures fail to provide you relief within 6-8 weeks, then surgical decompression may be an option. Hope this information is helpful. Good day