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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Hip, Back And Legs With Numbness. Harrington Rod Spinal Fusion. Do I Have Partial Sacralization?

Hi, I have a 25+ year old harrington rod spinal fusion, I have chronic pain in my back, hips that radiates into my legs, feet and toes with numbness in my toes. I was reading through my MRI report and it says that I have partial sacralization of L5 which has a large left lateral mass. It also says that I have a benign hemangioma in L4 vertebral body and that the disc space narrowing at L5-S1. I was quite surprised upon reading this as my rheumatologist never mentioned anything about the hemangioma, or the sacralization and basically told me that everything was normal and has no correlation to my horrific pain that gives me agonizing pain and difficulty walking or performing any normal daily activities. I am very confused as to how to understand why he would not have mentioned to me about the hemangioma in particular as it seems like this could have a direct link to the problems I have?
Mon, 10 Jun 2013
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Orthopaedic Surgeon 's  Response
Hello ,thanks for writing to us

I have studied your case.

This kind of pain is due compression of nerve due to spinal disc bulge.
Nerve compression leads to radiating pain to arm, which gets aggravated in a particular position.

You need methylcobalamine, muscle relaxant with analgesic by consulting doctor.
Here are my suggestions to you:
Avoid lifting weights

Continue neck exercises
Physiotherapy – SWD (Short Wave Diathermy), IFT (Interference Therapy). will help you

hemangioma usually are benign and need treatment only if they are compressing other structure or becoming malignant




Take care
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Painful Hip, Back And Legs With Numbness. Harrington Rod Spinal Fusion. Do I Have Partial Sacralization?

Hello ,thanks for writing to us I have studied your case. This kind of pain is due compression of nerve due to spinal disc bulge. Nerve compression leads to radiating pain to arm, which gets aggravated in a particular position. You need methylcobalamine, muscle relaxant with analgesic by consulting doctor. Here are my suggestions to you: Avoid lifting weights Continue neck exercises Physiotherapy – SWD (Short Wave Diathermy), IFT (Interference Therapy). will help you hemangioma usually are benign and need treatment only if they are compressing other structure or becoming malignant Take care