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Neck and lumbar pain, throbbing sensation in hip and groin area. MRI shows bulge at L4-L5. Treatment?

Hi. I fell at work almost two years ago and have been experiencing neck and lumbar pain ever since. I also have constant throbbing in my hip/ groin area and my legs lock up often. Also get sharp shooting pains from back down legs to mid hamstring . MRI shows minimal bulge at L4L5. Physiatrist says possible si joint dysfunction and now says myalgia myosotis. Any other ideas?
Asked On : Sun, 20 Jan 2013
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Neurologist 's  Response
Thanks for posting this question in HCM and i am a neurologist responding to you
First of all let me tell you that a given medical problem for instance back and neck pain can be due could be due to many causes and the treatment depends upon the cause and the primary objective of the physician is to establish the cause. Again i want to stress that a single individual can have multiple medical problems which can cause the same symptoms
Let us go back to your problem. The neck pain, back pain which comes down would suggest a possibility of nerve compression in your spine, called as radiculopathy. The management of these patients largely depends upon the neurological deficits they have. If there is no no neurological deficit after detailed neurological assessment, then the patient can be management conservatively with medicines and exercises. On the other hand if the pain is severe and the patient has neurological deficit surgical disc removal is an options. Hence i request you to get examined by a local neurologist who will approach the way i have described and also he will let you know if here is any other problem coexisting (particularly as you have told that you have hip and groin pain too) .
Hope this clarifies
Answered: Sun, 20 Jan 2013
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