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Dr. Andrew Rynne

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Taking acupuncture for sciatica. Weakness in legs

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Dr. Ramesh M.Vachharajani

General & Family Physician

Practicing since :1969

Answered : 17665 Questions

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Posted on Tue, 19 Nov 2013 in Bones, Muscles and Joints
Question: Following a bout of what appeared to be sciatica. Helped greatly by acupuncture, the problem continued with an increased weakness in both legs. I am a 72 yr. male always maintained excellent health.
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Answered by Dr. Ramesh M.Vachharajani 5 hours later
Brief Answer:
Degenerative disc changes with osteoartheritis

Detailed Answer:
HI, XXXX,
Thanks for posting query.
At this age there might be having degenerative changes in joints producing osteo-artheritis.
It seems that you might be having same changes in your lower spines producing irritation or pressure on the nerves passing through the inter-vertebral spaces giving rise to sciatica type of pain.
Constant irritation on nerves produces weakness, tingling and numbness in the legs.

If the weakness is profound and is affecting your daily activities, I suggest you to report back to your doctor / spine surgeon at the earliest. X-ray or CT scan of lumbo-sacral region is in order.
In the interim, take vitamin supplements along with calcium, vitamin A and D supplements.

Hope this helps. Let me know if you need clarifications.

Regards
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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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