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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Muscle Pain And Loss Of Senses In Left Leg,acute And Chronic Neurogenic Denervation In Both Legs

I am 54 years old male and about four months ago I feel muscle pain (left, lower leg) and loss of sense for the left leg. Then I lost some muscle mass for my left leg (upper leg). I do not peel a lot of pain in the back, but it is difficult now for me to go to upstairs. I have seen Doctors since then (first check the blood, then muscle disease, x-ray of the left leg, EMG , MRI of left leg, x-ray of the back, and MRI of the back, and neurologist , neurology-muscle specialist, etc. I have not get a answer for the problem yet. Only the MRI of back indicates that at L5-S1, small disc bulge with probable annular tear minimally impresses on the thecal sac . EMG results have the following impression: 1. No evidence of peripheral neuropathy or myopathy. 2. Widespread acute and chronic neurogenic denervation in both legs and lumbar paraspinal muscles I am just asked now to take vitamin C and E. Please help to let me know what is my problem and recommend the path forward. Thanks!
Tue, 15 May 2012
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Orthopaedic Surgeon, Joint Replacement,  's  Response
All your findings are in favour of lower motor & sensory involvement of lumbar 5th nerve root. Though it is not detected in your investigation as they were incomplete. Hence a detailed MRI study of darso-lumbar Spine including Root Canal diameters, Status of the Facet Joints of the concerned segment & status of the L5 Nerve root from cord to root canal has to be studied. It is possible with 3 tesla MRI Machines. A good quality of CT Scan with 3 D Reconstruction will also be required.

In the mean time you should start:

Rx-

Inj. Methycobal 1 amp I/M OD X 7

Gincoba 1 tab Twice a day

Physiotherapy

Take rest over hard bed

Dr R K SINGH
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Muscle Pain And Loss Of Senses In Left Leg,acute And Chronic Neurogenic Denervation In Both Legs

All your findings are in favour of lower motor & sensory involvement of lumbar 5th nerve root. Though it is not detected in your investigation as they were incomplete. Hence a detailed MRI study of darso-lumbar Spine including Root Canal diameters, Status of the Facet Joints of the concerned segment & status of the L5 Nerve root from cord to root canal has to be studied. It is possible with 3 tesla MRI Machines. A good quality of CT Scan with 3 D Reconstruction will also be required. In the mean time you should start: Rx- Inj. Methycobal 1 amp I/M OD X 7 Gincoba 1 tab Twice a day Physiotherapy Take rest over hard bed Dr R K SINGH