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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Back Fusion L4/L5/S1 5 Yrs Ago, Lot Of Pain, Cannot Walk, Sit Or Stand For Long Time. On Tamadol, Epidural Injections. Reasons ?

I had a back fusion L4/L5/S1 over five years ago but am still in a lot of pain can not walk far sit for a long time stand or a long time or bend I take Tamadol Diclafenic paracetamol night time pills they are now talking about epidural injections what if these don t work why am I still in pain and ind it hard to do every day things
Fri, 6 Sep 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Let me explain you that injection outside duramater is known as epidural injection and usually analgesic injections are given and this is a symptomatic relief i.e. not treatment but for pain.
Now on main complaint, you mentioned that there is fusion of L 4 , L 5 S 1 bones in vertebral column.
The fusion may be due to ,
1 Ankylosing spondylitis ,
2 Ossification of posterior longitudinal ligament ( union of or fusion of these ligaments)
3 tuberculosis i.e ankylosis may unite these bones .
As there is fusion so the nerve passing from (through ) the canal of these bones will compress and there develops pain .
if compression more excruciating pain.
In my opinion consult orthopaedician / neurologist and get their opinion and treatment after M R I and C T scan.
Good luck.
Dr. HET
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Had A Back Fusion L4/L5/S1 5 Yrs Ago, Lot Of Pain, Cannot Walk, Sit Or Stand For Long Time. On Tamadol, Epidural Injections. Reasons ?

Hello, Thanks for the query to H.C.M. Forum. Let me explain you that injection outside duramater is known as epidural injection and usually analgesic injections are given and this is a symptomatic relief i.e. not treatment but for pain. Now on main complaint, you mentioned that there is fusion of L 4 , L 5 S 1 bones in vertebral column. The fusion may be due to , 1 Ankylosing spondylitis , 2 Ossification of posterior longitudinal ligament ( union of or fusion of these ligaments) 3 tuberculosis i.e ankylosis may unite these bones . As there is fusion so the nerve passing from (through ) the canal of these bones will compress and there develops pain . if compression more excruciating pain. In my opinion consult orthopaedician / neurologist and get their opinion and treatment after M R I and C T scan. Good luck. Dr. HET