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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Arachnoiditis

Hi, I assume I have arachnoiditis. I had an epidural ten years ago when I had knee replacement surgery.. I opted for the epidural as I thought It would be safer. After the surgery, I had leg pain below the knees on both my right and left leg. It s as if I have the type of leg pain you might have with the flu. It s also tingly feeling. My doctor gave me vicoden, which I ve been on for ten years. I m now on five per day. Kaiser has been reducing the amount I take. I really don t think I can take less, but I m trying. I keep asking what about the pain. They will not talk to me about it. They have not diagnosed my pain. They just say I need to get off the meds. I do not want to be chained to the meds. What steps can I take to find a solution? Thank you, Mary YYYY@YYYY
Tue, 30 Jan 2018
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Orthopaedic Surgeon 's  Response
ello, 

I have studied your case. 

As per your history subclinical infection is likely diagnosis
DO NOT IGNORE SUBCLINICAL INFECTION IN POST TKR .
You may need to investigate like CRP ,CBC,ESR
PCR culture is very useful to find culprit organism.

There is less possibility of arachnoiditis.
For confirmation you can do MRI with contrast.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. 

Wishing you good health.

Take care
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Suggest Treatment For Arachnoiditis

ello,  I have studied your case.  As per your history subclinical infection is likely diagnosis DO NOT IGNORE SUBCLINICAL INFECTION IN POST TKR . You may need to investigate like CRP ,CBC,ESR PCR culture is very useful to find culprit organism. There is less possibility of arachnoiditis. For confirmation you can do MRI with contrast. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.  Wishing you good health. Take care