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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Flare Ups On Sciatic Nerve. Weakness In Right Arm. Take Cortisone Shots?

I have lots of pain in my right side. I was in some car accidents a few years ago and I have flare ups on my sicatic nerve right now my right leg the calf feels like I have a Charlie horse. My right arm is weak and I pop everytime I breathe in. I have been dealing with this for a few weeks trying to stretch it out been using a jacuzzi to help loosen the muscles but nothing seems to help. Could this be just a bad flare up? Possibly need a cortisone shot?
Thu, 1 Aug 2013
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Radiologist 's  Response
Hello
Thanks for writing to HCM

MRI Lumbar spine should be done to know the status of nerve involvement and disease is related to inter vertebral disc prolapse.
For pain relief physiotherapy,medicines and surgery can be choice.
Ultrasound therapy and trans cutaneous electric nerve stimulation (TENS) can be tried. Exercise can follow that.
Steroids can be given to reduce nerve roots inflammation. Pain killers like pregabalin capsules can also be given.
If symptoms persist, surgery can be done.

Take Care
Dr.Indu Bhushan
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

Your description suggests that you have a nerve root irritation leading to shooting pain down the limbs.

A steroid injection definitely helps in lessening the pain. But the underlying cause of the nerve root irritation is to be known and treatment should be aimed at the root cause.

So, I suggest you to get an MRI scan done which diagnoses the possible cause accurately.

Consult an orthopedic surgeon for further workup and management.

Hope this information is helpful. Good day
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Flare Ups On Sciatic Nerve. Weakness In Right Arm. Take Cortisone Shots?

Hello Thanks for writing to HCM MRI Lumbar spine should be done to know the status of nerve involvement and disease is related to inter vertebral disc prolapse. For pain relief physiotherapy,medicines and surgery can be choice. Ultrasound therapy and trans cutaneous electric nerve stimulation (TENS) can be tried. Exercise can follow that. Steroids can be given to reduce nerve roots inflammation. Pain killers like pregabalin capsules can also be given. If symptoms persist, surgery can be done. Take Care Dr.Indu Bhushan