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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Back Pain Radiating To Right Leg, Itching. MRI Showed Arthritis And Compression Of Peroneal Nerve. Taking Amitriptylene. What Other Therapy Is Suitable?

I have had pain in my low back radiating into my right leg and foot for almost two years. Now i am having pain and extreme itching I m the sacral area for about five monthes. The Mri I had in Jan 2011 showed arthritis in L4-5 and L5 -s1 without nerve compression. However my ncv showed compression of peroneal nerve. Amitriptylene 50mg ga is the only thing which eases the night leg pain I am scheduled for engine. What else can I do? The only tx I get is for amtriptylene, pain med and muscle relaxer. This severely interupts my life?
Wed, 2 Apr 2014
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Orthopaedic Surgeon, Joint Replacement,  's  Response
I would recommend you to repeat your MRI as previous one was 3 years ago. If it shows that disc prolapse has progressed and it is compressing nerves now i would recommend you to think about surgery. Apart from that there is role of physiotherapy., Physiotherapy helps by strengthening muscles and ultrasono provide relief from back muscle spasm. If it is increasing pain in you then i can recommend you other modes like epidural steroids and infrared and TENS. But remember that disc pain takes time in healing.
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Lower Back Pain Radiating To Right Leg, Itching. MRI Showed Arthritis And Compression Of Peroneal Nerve. Taking Amitriptylene. What Other Therapy Is Suitable?

I would recommend you to repeat your MRI as previous one was 3 years ago. If it shows that disc prolapse has progressed and it is compressing nerves now i would recommend you to think about surgery. Apart from that there is role of physiotherapy., Physiotherapy helps by strengthening muscles and ultrasono provide relief from back muscle spasm. If it is increasing pain in you then i can recommend you other modes like epidural steroids and infrared and TENS. But remember that disc pain takes time in healing.