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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Back Pain With Numbness, Burning On Gluts And Thighs Even After Discectomy And Back Surgery ?

Hi, i had back surgery 2 years ago, discectomy on L4-5. Now i have back pain again with numnes and burning on my gluts and thights. I had an lumbar X-ray a week ago which shows moderate to severe hypertrophy on the lumbar facet joints and vacuum disk phenomenon on L4-5 disks. What causes this phenomenon and what is the treatment.
I did hear about gel like substance injection to be added to the disk. How effective this treatment is?
Thanks. Irina
Thu, 23 Jan 2014
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Irina, all procedure apart from dissectomy for these complain does not have a very strong scientific back up. I mean these procedures (injection, or chiropractic) may or may not work in every individual. I think if pain is tolerable than you can take vit B 12 to make your nerves strong. I would also like to see Mri because X ray diagnosis can be misleading. Avoid heavy weight lifting and forward bending.
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What Causes Back Pain With Numbness, Burning On Gluts And Thighs Even After Discectomy And Back Surgery ?

Irina, all procedure apart from dissectomy for these complain does not have a very strong scientific back up. I mean these procedures (injection, or chiropractic) may or may not work in every individual. I think if pain is tolerable than you can take vit B 12 to make your nerves strong. I would also like to see Mri because X ray diagnosis can be misleading. Avoid heavy weight lifting and forward bending.