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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spinal stenosis. Orthopedic surgeon ruled out hip arthritis. MRI shows impingement on left. May this turn into CES?

I have spinal stenosis which is worsening rapidly. Pain on standing for more than 5-6 min. Extending into front of legs with chronic groin pain more pronounced on left. Poor bladder control. Some sexual dysfunction. Prior laminectomies at L-3,4. Orthopedic surgeon has ruled out hip arthritis. MRI shows impingement on left side at L-5. Have some concerns that this may be turning into CES!
Wed, 17 Apr 2013
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Internal Medicine Specialist 's  Response
greetings friend.progressive spinal stenosis with pain and neurological deficits are a concern that can result in paralysis if not treated surgically. Most of the time back surgeries turn out to be more harm than good, but if you do not have hip arthritis or a hip problem as a cause of your pain and symptoms, your MRI should show spinal stenosis compressing the nerve if it is responsible for your pain. I would get multiple opinions from a neurosurgeon before undergoing surgery, because sometimes they have different surgical approaches and sometimes the conservative approach is better. cheers.
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