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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Would Fractured L1 Endplate Cause Adrenal Insufficency With Addison S?

no pituarity tumor found. Cortisol base was .30. Second base was .50 before given Cortisol IV then 3.1 after 30 minutes and 5.1 after 60 minutes. Multiple tests negative but Endo is saying Adrenal Insufficency with Addison s. Endo is suggesting multiple epidurals (back, neck, shoulder) may be the cause. Now on meds. I don t understand my at 62 this is just now being discovered. Could this be caused by an injury such as a fracture L1 endplate (Aug 2013)? Thanks
Tue, 3 May 2016
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Physical Therapist or Physiotherapist,  's  Response
hi,

thank you for providing the brief history of you.

A thorough neuromuscular assessment is advised.

As you have an L1 end plate fracture , this is totally ageing factor and called as a pathological fracture. Since you are 62, this kind of fracture is commonly addressed as pathological fracture. Also, the steroids are given for temporary pain relieving factors of which the side effects are totally unknown.

But as you age and no exercises then chances for degenerative changes to occurs is possible and ageing is an added drawback for pathological fractures

I will recommend to undergo and MRI and post which undergoing physical therapy for stabilizing the spine is recommended via exercises.

In my clinical practice I see abundant cases in geriatrics with unknown cause of fracture. they respond well to physical therapy

regards
Jay Indravadan Patel
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Would Fractured L1 Endplate Cause Adrenal Insufficency With Addison S?

hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you have an L1 end plate fracture , this is totally ageing factor and called as a pathological fracture. Since you are 62, this kind of fracture is commonly addressed as pathological fracture. Also, the steroids are given for temporary pain relieving factors of which the side effects are totally unknown. But as you age and no exercises then chances for degenerative changes to occurs is possible and ageing is an added drawback for pathological fractures I will recommend to undergo and MRI and post which undergoing physical therapy for stabilizing the spine is recommended via exercises. In my clinical practice I see abundant cases in geriatrics with unknown cause of fracture. they respond well to physical therapy regards Jay Indravadan Patel