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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Increased Focal Uptake Within L5-S1 Facet Joints

I have severe right buttock pain after sitting in a car for about 15 minutes. Cat scans and Mri s show no spinal problems but a bone scan showed increased focal uptake within the right L5-S1 facet joints. Three attempts at steroid injections have not helped. Nor has physical therapy or Chiropratic intervention. Any suggestions?
Wed, 18 Mar 2015
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Orthopaedic Surgeon,  's  Response
this signs inflammation only, and if steroids have no effect then you will need surgery for facet joint arthopathy, one more concern is that increase uptake is sign of hyperactivity which occurs in malignancies or secondaries also.
Consult a Spine Surgeon only
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Suggest Treatment For Increased Focal Uptake Within L5-S1 Facet Joints

this signs inflammation only, and if steroids have no effect then you will need surgery for facet joint arthopathy, one more concern is that increase uptake is sign of hyperactivity which occurs in malignancies or secondaries also. Consult a Spine Surgeon only