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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Groin Ligaments. Had Spinal Fusion, Still Having Problems With Walking. Advice?

Stinging pain in both groin ligaments (top of thigh). Left knee very swollen. Had spinal fusion November 2011 (spacer L4) but made good recovery with minor nerve damage affecting left big toe and occasional sciatica. Have been able to walk five to six miles quite easily. Now painful to walk and problems getting up and down from sitting position. Pain when lying down in left knee front and back. Left knee stiff and painful when climbing stairs. Tripped a few months ago and had back muscle spasm are current symptoms all related?
Thu, 26 Sep 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

All your different symptomatology is no way interrelated. I suspect that the cause of you knee pains could be due to arthritis.

The conservative management of arthritic knee is as follows -

* NON STEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDs) - This family of medications includes aspirin, ibuprofen, naprosyn, and other non-narcotic medications to decrease pain and inflammation.

* WEIGHT LOSS - Significant weight loss for obese patients can make a
dramatic difference in the pain arising from arthritic joints.

* ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible but impact activities will aggravate arthritis. The key is to focus on low impact activities, such as swimming or cycling.

* GLUCOSAMINE / CHONDROITIN SULFATE - There is compelling evidence that it is relatively safe and works by decreasing pain & inflammation in the joint thereby reducing the need for regular painkiller usage.

Hope this information is helpful. Good day

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Pain In Groin Ligaments. Had Spinal Fusion, Still Having Problems With Walking. Advice?

Hi, thanks for writing to HCM. All your different symptomatology is no way interrelated. I suspect that the cause of you knee pains could be due to arthritis. The conservative management of arthritic knee is as follows - * NON STEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDs) - This family of medications includes aspirin, ibuprofen, naprosyn, and other non-narcotic medications to decrease pain and inflammation. * WEIGHT LOSS - Significant weight loss for obese patients can make a dramatic difference in the pain arising from arthritic joints. * ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible but impact activities will aggravate arthritis. The key is to focus on low impact activities, such as swimming or cycling. * GLUCOSAMINE / CHONDROITIN SULFATE - There is compelling evidence that it is relatively safe and works by decreasing pain & inflammation in the joint thereby reducing the need for regular painkiller usage. Hope this information is helpful. Good day