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Dr. Andrew Rynne

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Exp 50 years

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Have back pain due to spinal injury. Have swollen knees, ankle and thighs. What is the cause?

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Dr. Saurabh Gupta

Orthopaedic Surgeon, Joint Replacement

Practicing since :2004

Answered : 5930 Questions

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Posted on Sat, 7 Dec 2013 in Bones, Muscles and Joints
Question: I have spinal injury l5 s1 disc prolaspe and l5 l4 mild bilateral stenosis althought inknow my back pain and leg psin and numbness are due to spinal injury but may I know why my ankle on left leg is swollen and my both knee were swollen , snd I feel numbness in my hand and finger , joint pain on my knee as well as my head is numb afteraying diwn a few min, could you please tell me why my ankle knee thighs were swollen and why do my joint pain on my knee and ankle and pain when I walk after few min ?
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Answered by Dr. Saurabh Gupta 2 hours later
Brief Answer: These can occur due to lumbar canal stenosis Detailed Answer: Hello, Thanks for your query. Swollen and painful thigh, knee and ankle and pain on walking after few minutes can occur due to lumbar canal stenosis. Numbness in hand and finger could be due to nerve compression at cervical spine or due to Peripheral neuropathy caused by diabetes or alcoholism or lack of VIT B 12. I do hope that you have found something helpful and I will be glad to answer any further query. Wishing you speedy recovery.. Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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MRI OF LUMBOSACRAL SPINE: -

PROTOCOL:

-     SE T1W & TSE T2W SEQUENCES IN SAGITTAL PLANE.
-     TSE T2 W SEQUENCE IN AXIAL PLANE.
-     STIR SEQUENCE IN CORONAL PLANE.
-     MR MYELOGRAPHY USING HEAVILY T2W SEQUENCE IN SAGITTAL AND CORONAL PLANES ON A 1.5 TESLA SCANNER.

There is some degree of straightening of lumbar lordotic curvature. Vertebrae are normal in height, alignment and marrow signal intensity.
Dessicative disc changes and anterior osteophytes are noted at multiple levels. Disc height is reduced at L4-5 with degenerative endplate changes at this level.

There is diffuse disc bulge, thickened ligamentum flavum & facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R). The mid sagittal diameter and area of spinal canal are 0.8cm and 0.75cm² (lower normal limits are 1.0cm and 1.5cm² respectively. Effusion is detected in the facet joints.
Annular tear, diffuse disc bulge and facet joint arthropathy are visualized at L3-4 indenting the thecal sac.
Diffuse disc bulge is observed at L5-S1 mildly compromising the neural canals bilaterally.

Cord ends at L1 vertebral level and shows normal signal intensity. No abnormal pre or paraspinal soft tissue mass is seen. MR myelography confirms the above findings.

Impression      :     MR findings reveal lumbar spondylotic changes with
     -     Diffuse disc bulge, thickened ligamentum flavum and facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R).
     -     Annular tear, diffuse disc bulge and facet joint arthropathy at L3-4 indenting the thecal sac.
     -     Diffuse disc bulge at L5-S1 mildly compromising the neural canals bilaterally.

-     To be correlated clinically.

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