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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Extreme Pain In The Body With Bulged Discs And Hernias

Hi, I m in general good health- just much pain in knees, hips, shoulders and more recently feet. I m plagued by multi-level bulging disc at all 3 levels, my left shoulder dislocates easily-had right should repair for significant damage. Have bilateral inguinal hernias & told I need bilateral knee and possibly hip replacements. Have thought for decades (though scoffed at by Ortho Drs) that having wrestled initiated an inflammatory response. Cutting 30+ lbs, I believe put me in keto-acidosis, wrestling being an anaerobic sport produces lactic acidosis plus starving = no antioxidants, all while growing. I believe these factors collectively damaged my body. I maintain a fit weight, diet & exercise (as can) yet recent heart scan indicates CAD so concerned about Cox 2 I. I would be concerned about taking corticosteroids for obvious reasons. I have a hx of mild/controlled diastolic Htn and very ctrl choelesterol. Neg RA, CRP WNL but seems more than OA to me. I gave up going to Drs regarding this because just told it must be OA but they are perplexed how so much damaged could have occurred. I have significant atropy in my left quad/buttocks/hamstring areas but 2 seperate EMGs yielded 2 different results. I also have extreme RLS @ night mostly in my left quad. I have intermittent mild burning senstion in mid-soles. FBS and 1 A1C WNL. My testosterine levels were low and I give myself test. injections q 10 days and are now normal. My growth hormone has been low but I stopped that due to expense/coverage. I have slight hypothyroidism and take Levothyroxine. An endocronologist I was seeing, believed that some head trauma I collectively experienced led to some hypopituitaryism due partially malfunctioning of my hypothalmus. I ve had to give up all sports and activities except walking and light cycling. Though people often remark how fit I look, even functional activities/ADL have become difficult. I m always in pain but no one but my girlfriend knows. Except for a mild limp I apparently have and a somewhat deformed left knee there are no visable signs. I would highly appreciate any thoughts you may have. Thank you. Greg
Tue, 30 Apr 2019
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Pulmonologist 's  Response
Hello,

By your history and description, the possibility of nerve root compression is more likely. So start physiotherapy, weight reduction. If still not improving then surgery is the only option.

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

Take care

Regards,
Dr Kaushal Bhavsar, Pulmonologist
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Suggest Treatment For Extreme Pain In The Body With Bulged Discs And Hernias

Hello, By your history and description, the possibility of nerve root compression is more likely. So start physiotherapy, weight reduction. If still not improving then surgery is the only option. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kaushal Bhavsar, Pulmonologist