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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Numbness In Lower Limb, Degenerative Changes With Reduced IV Disc Space. On Medication For BP. What Is Going On?

hi sir/mam, my mother is 62 years old. she is suffering from numbness and pain in her left lower limb. her right lower limb(specially knee) is swelling and this is happening since last 2 years. she is also taking medicine for blood pressure since last 10 years. her recent medical report is as-

1.     Degenerative changes with reduced I.V disc space between L5/S1.
2.     
Test Result reference range unit
3.     ALBUMIN [Serum]           3.9                3.5-5.5                          g/dL
Method : Bromo Cresol Purple…………………………………………………………………..
3. CREATININE [Serum] 0.71 0.5-1.2 mg/dL
     Method : Alkaline Picrate-Kinetic
4. Thyroid Stimulating Hormone(TSH) 0.02 0.34-4.25 µ IU/mL
[Serum] Method : chemiluminescence


Urine(Routine and Miroscopy)
Physical Examination

Amount……………………….25ml Reference Range
Colour………………………..Yellow
Appearance……………………clear clear
PH…………………………….Acidic 4.6-8.0
Specific gravity* 1.015-1.025

Microscopic Examination(centrifuged deposite)
W.B.Cs……………….Occasional……………….Epithelial cells……….Occasional………………..3-5 cells high power field
R.B.C.S………………….. nil……………………Casts………………………… nil/low power field
Crystals…………………………… nil/low power field
Bacteria………………………
Others………………………… nil/low power field

Chemical Examination
Albumin nil………………………..nil
Sugar nil………………………..nil
Acetone*………………………………………….nil
Bile Salt*………………………………………….nil
Bile Pigment*……………………………………..nil
Urobilinogen*……………………………………..0 - 1+
Blood*…………………………………………….nil
Bence Jones Protein*………………………………nil

please tell me the problem with possible cause and its best solution.




Mon, 15 Jul 2013
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  User's Response
Hi
Thank you for choosing HCM, I really understand your concern, the routine reports of your mother are almost normal, the degenerative disease is much common nowadays all over the world affecting more than 40% of population particularly in metropolitan cities the exact cause is not known, there are surgical as well as medical treatment given to the patient,, depend upon the damage to the disc or surrounding area ( Nerve fiber), good nursing care as well as complete bed rest would help the patient lot,, good orthopedic surgeon and neurosurgeon doing nice job in this field have a word with them. Take care of your mother, The mortality rate in such case is very very low, so do not worry, Good day
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Numbness In Lower Limb, Degenerative Changes With Reduced IV Disc Space. On Medication For BP. What Is Going On?

Hi Thank you for choosing HCM, I really understand your concern, the routine reports of your mother are almost normal, the degenerative disease is much common nowadays all over the world affecting more than 40% of population particularly in metropolitan cities the exact cause is not known, there are surgical as well as medical treatment given to the patient,, depend upon the damage to the disc or surrounding area ( Nerve fiber), good nursing care as well as complete bed rest would help the patient lot,, good orthopedic surgeon and neurosurgeon doing nice job in this field have a word with them. Take care of your mother, The mortality rate in such case is very very low, so do not worry, Good day