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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taken HGH for anti aging reasons. Developed spinal stenosis. Non surgical method to cure?

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Dr. Rahul D Chaudhari

Spine Surgeon

Practicing since :2002

Answered : 322 Questions

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Posted on Mon, 21 Jan 2013 in Bones, Muscles and Joints
Question: I am a 47 y.o. dentist. I have taken hgh for several years for antiaging reasons. I have developed spinal stenosis. My question is whether the hgh has contributed to this? I had an extended time where I was taking bad hgh unknowingly so I cannot use personal experience as my guide. I had drank a fair amount of coffee acidifying my blood along with a less than perfect diet along with a job that encourages poor posture. Also is there a non-surgical way out of this?
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Answered by Dr. Rahul D Chaudhari 19 minutes later
Hi,

Thanks for the query.

One of the contributing factors for the spinal stenosis is bony outgrowth and thickening of the lamina. Hgh, very well can cause this problem especially in a young person who already has optimum bone density.

However in spine, we need to see clinical symptoms and if those are matching with MRI findings.

What are your complaints- back pain? leg pain? difficulty in walking? Any tingling or numbness in legs? And how bad is the problem? Affecting your daily activities?

There are non surgical options but it depends upon patient suffering and how bad is the stenosis. Non-surgical solutions are like pain medicine with physiotherapy, epidural blocks or spine simulators.

Hope this helps you. Let me know if you have more queries.

Thanks.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Rahul D Chaudhari 26 minutes later
yes, back pain, sciatic pain while standing right side, started getting tingling in left small toes. MRI showed spinal stenosis. Pain is managable at this point. Unable to run. Do not take pain pills, but fish oil helps with the inflammation. I am hoping diet can reverse this. Please comment on the nutritional info I provided if you are versed in this. Thank you.
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Answered by Dr. Rahul D Chaudhari 3 hours later
Hi,

Thanks for the follow up.

Nutritional supplements are helpful for generalized well-being. Spinal stenosis is a mechanical problem and it is due to bony outgrowth. I need to see your MRI images. If the stenosis is due to bony stenosis, then it won't be cured with above mentioned supplements. Over a period the problem will worsen. If there are limitation to your activities, then you need to consider other options rather than depending upon the nutritional supplements.

Thanks.
Above answer was peer-reviewed by : Dr. Mohammed Kappan
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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.

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     -     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.

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