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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Foot Pain With Numbness?

I have significant disc bulge with bilateral neuroformil and from the mri in 2011 grade anterolisthesis and effacement of right l1 nerve root. MRI done 10/2013 shows still grad one but in the past few months I have been havening severe foot pain on one foot worse while lying down now my foot has been tingling and my toes on both feet when standing feel numb. I am having another mri with contrast this time done in a few days but want to know if I should take this and my problem to a neurosurgeon or should I see a orthopic surgeon. ( and also I have pain low in my lumbar back especially on the left even hurt to push on this left side of lumber in the divvy of my spine) e-mail YYYY@YYYY
Thu, 14 Jul 2016
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Orthopaedic Surgeon,  's  Response
Hi
Hope this message finds you in good health.
I have gone through your complaints and understand your concern.
U seem to have compressed a nerve in the back somewhere that might be causing radiating pain in those regions.Possibility of a recurred lumbar disc prolapse or another disc should be kept in mind.
I suggest you get an Xray as well as an MRI to find out the exact cause.
Physiotherapy,analgesics,anti-inflammatory drugs should help.
Avoid surgery as far as possible coz it may relieve pain temporarily but it makes the spinal column weak and causes problems in the future. u should see a neurosurgeon to be precise and if he advises on surgery, then ask him to do it endoscopically as it has better results as compared to an open spine surgery.If at all its needed,get it done endoscopically.
Nothing to worry about.     
I hope your question has been answered.
If you have any follow-up queries,feel free to consult me anytime.
Thanks,Take care,God bless.
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What Causes Foot Pain With Numbness?

Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. U seem to have compressed a nerve in the back somewhere that might be causing radiating pain in those regions.Possibility of a recurred lumbar disc prolapse or another disc should be kept in mind. I suggest you get an Xray as well as an MRI to find out the exact cause. Physiotherapy,analgesics,anti-inflammatory drugs should help. Avoid surgery as far as possible coz it may relieve pain temporarily but it makes the spinal column weak and causes problems in the future. u should see a neurosurgeon to be precise and if he advises on surgery, then ask him to do it endoscopically as it has better results as compared to an open spine surgery.If at all its needed,get it done endoscopically. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries,feel free to consult me anytime. Thanks,Take care,God bless.