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Suggest Treatment For Muscle Tightness And Discomfort In The Right Leg

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Posted on Mon, 13 Nov 2017
Question: I am a 63 yo man who has degenerative joint disease of the spine, spinal stenosis bulging disks and radiculopathies of L12345 S1 resulting in tightness and discomfort in the right leg from the buttock down through the posterior of the RLE as well as muscle weakness and some atrophy ( especially at the gastrocs-- I can't do toe raises at all with the RLE unlike my RLE and I am walking with a limp. I can
do full plantar flexion and dorsiflexion with full resistance in my Rt ankle in a sitting and supine position; but I have no strength at all when I attempt a toe raise in standing , ie weight bearing.) this concerns me greatly and I'm wondering whether this will become permanent or whether less invasive endoscopic spine surgery can alleviate this problem. I'd appreciate your opinion .
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Answered by Dr. Dr. Erion Spaho (38 minutes later)
Brief Answer:
Decompression of the neuronal structures is necessary.

Detailed Answer:
Hello and thanks for using HealthcareMagic.

I have read your question and understand your concerns.

If there will be a decompression of the spinal cord and nerves, permanent damages and progressive muscles weakness may be stopped.

Since some neurological deficits started to be evident, your situation needs to be solved in short time, and in my opinion, surgical decompression is necessary to be performed at the earliest.

The surgical approach selection doesn't play an important role in such conditions, as soon as correct decompression and stability of the spine are achieved.

The choice of the appropriate approach belongs to your spine Specialist or Neurosurgeon and endoscopic decompression is one of the possible treatment ways.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Suggest Treatment For Muscle Tightness And Discomfort In The Right Leg

Brief Answer: Decompression of the neuronal structures is necessary. Detailed Answer: Hello and thanks for using HealthcareMagic. I have read your question and understand your concerns. If there will be a decompression of the spinal cord and nerves, permanent damages and progressive muscles weakness may be stopped. Since some neurological deficits started to be evident, your situation needs to be solved in short time, and in my opinion, surgical decompression is necessary to be performed at the earliest. The surgical approach selection doesn't play an important role in such conditions, as soon as correct decompression and stability of the spine are achieved. The choice of the appropriate approach belongs to your spine Specialist or Neurosurgeon and endoscopic decompression is one of the possible treatment ways. Hope you found the answer helpful. Let me know if I can assist you further. Take care.