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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Spinal Stenosis Be Treated First Than Bursitis With Joint Inflammation?

Hello, I have had sciatica pain/hip pain for years and recently it got worse. MRI of the Lumbar Spine showed spinal stenosis with herniation. Surgeon wants to do L 4 Laminectomy to reduce the pressure. In addition to the hip/sicatica pain i also was getting groin/upper thigh pain when walking so was sent for an MRI of the Hip wich showed Bursitis, Inflammation of the Joint, and a Cartalidge Tear. I feel like I want to treat the hip first and want to put the Back Surgery off. Surgeon has me schedule for an Anesthetic Arthogram.. Do you think this is a good plan?
Tue, 31 Mar 2020
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Orthopaedic Surgeon,  's  Response
Hello,

Surgery is advised when all non operative options are tried and exhausted.Non operative options include physiotherapy,spine ergonomics, Medications.

Regarding bursitis,anti inflammatory medications would help.One can go for surgery immediately in case of weakness in limbs and sphincters(Bowel and bladder incontinence).

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Rajesh Gayakwad
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Should Spinal Stenosis Be Treated First Than Bursitis With Joint Inflammation?

Hello, Surgery is advised when all non operative options are tried and exhausted.Non operative options include physiotherapy,spine ergonomics, Medications. Regarding bursitis,anti inflammatory medications would help.One can go for surgery immediately in case of weakness in limbs and sphincters(Bowel and bladder incontinence). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Rajesh Gayakwad