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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prostatitis, Painful Lumbar Area, Frequent Urination, Sexual Dysfunction, Pain In Perineum. Done Urinalysis. Spinal Canal Stenosis?

Hi, I fell in the bathroom on Sept. 2011, rerrible pain in my ribs and lumbar area after the fall, off worrk for 1 week, then went back to work. pain in back is on and off, after 6 monts noticed changes in bowels frequent urination. February 2012 went to doctor, symptoms include some burning urination. Went to doctor, urine test, blood test, culture negative. March 2012 sym
ptoms include pain when urinating, went to doctor, again urinalysis, blood test negative. More symptoms as time goes by, including pain in the perineum when sitting. Then tingling in penis, in right toes. Sexual dysfunction is also observed pain on erection, ejaculation. on January 2012 my right foot twisting, pins and needles in foot. Doctor diagnosed diabetes, kept me for 4 months, then diagnosed me with prostatitis, kept me for many months, pain and symptoms are worsening. On
013 had MRI which said CENTRAL DISC PROTRUSION at L4-S1 level with CENTRAL/NEURAL foraminal stenosis, 2.MILD POSTERIOR DISC BULGES at L1-2, L2-3, L3-4 and L5-S1 levels likewise seen, 3.MINIMAL LUMBAR DEXTROCOLIOSIS, 4.TENDENCY TO SLIGHT SPINAL CANAL STENOSIS AT L3-4 likewise seen.
consulted a lot of orthopedic doctors, they said the bulge at L4 L5 is so small, they will not operate but my symptoms are getting worse and worse, now both legs have parasthesias and weakening I cannot sleep. All doctors said bulge is small they cannot see any lesion they can operate that can help me with my pai. T if I have surgery, they said the pain will still be there because the spine is NOT the source of pain, probably from

Then on July 30 2013, had another MRI which said LARGE DISC ANNULAR TEAR / FISSURE FORMATION CENTRAL at L4 -L5 , OF SUBACUTE SIGNAL INTENSITY CHARACTERISTICS, with NO actual disc herniations seen. Tendency to central spinal canal narrowing, with no lateral recess involvement, No ligamentum flavum hypertropy, Normal facets and sacro illiac joints. No compression deformity nor spondylolisthesis. No intradural intramedulary abnormality.
Advise of Neuro radiologist is NOT to have surgery. HELP! what is happening to me?
Fri, 16 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

After going through the entire description, I am of the opinion that the cause for paresthesias in the legs is due to Diabetic autonomic neuropathy and not your lumbar disc disease.

Use of Pregabalin or Gabapentin might provide you some relief. I suggest you to have a good glycemic control.

Hope this information is helpful. Good day
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Prostatitis, Painful Lumbar Area, Frequent Urination, Sexual Dysfunction, Pain In Perineum. Done Urinalysis. Spinal Canal Stenosis?

Hi, thanks for writing to HCM. After going through the entire description, I am of the opinion that the cause for paresthesias in the legs is due to Diabetic autonomic neuropathy and not your lumbar disc disease. Use of Pregabalin or Gabapentin might provide you some relief. I suggest you to have a good glycemic control. Hope this information is helpful. Good day