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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Severe Back Pain

i have had an emg - summary is acute denervation noted in thr right vastus lateralis to a remarkable degree with a lesser amount of acute denervation evident in the right adducter magnus. this is due to high lumbar radiculopathy at the L2-L4 level - recruitment is still present so maybe the nerve is not severed.
also, loss of amplitude in the right peroneal nerve when compared to the left.
this happened during a spinal injection for low back pain at the right side L4 (my 3rd treatment after an initial 3 treatments at 1 week intervals.
Now I am supposed to start physical therapy and have a neurotransmitter installed - trial for a week then permanent if it works.
It is obvious I am under a good neorosurgeons care (A Fabi Kalamazoo). My question is: my back pain is not anything like my right leg pain, especially in the knees (primarily in the right knee suposedly from osteoarthritis - hips - ankles, and wrists/elbows). My back was worse untill i had the injections in my spine - how can a neurotransmitter help osteo......... pain in my hips and knees.
Second ? = should I be working (test technician for dishwashers - yes on the floor alot) - I obviously fall alot, my right leg just acts like it is not there - if I forget to lock my knee, I fall!
Wed, 25 Feb 2015
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Orthopaedic Surgeon 's  Response
Thank you for the question.Good that you are seeking help from a good neurosurgeon and undergoing right tests as well. For arthritis of knee and hip mayconsult a hip/knee surggeon/orthopedic surgeon also.plain X rays of hip and knee may show whether you have osteoarthritis and statusof spurs or degenerative changes, loss of space cartilage etc which shall determine further line of management-conservative on medicines physical therapy ot surgical if advanced Aslo have complete arthritis blood profile done for polyarthritis /arthralgia just in case any specificdisease process which may require specificdrugs apart from routine anti-inflammatory/analgesics. Sohave a work out with an ortho specialist/rheumatologist as well
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Suggest Remedy For Severe Back Pain

Thank you for the question.Good that you are seeking help from a good neurosurgeon and undergoing right tests as well. For arthritis of knee and hip mayconsult a hip/knee surggeon/orthopedic surgeon also.plain X rays of hip and knee may show whether you have osteoarthritis and statusof spurs or degenerative changes, loss of space cartilage etc which shall determine further line of management-conservative on medicines physical therapy ot surgical if advanced Aslo have complete arthritis blood profile done for polyarthritis /arthralgia just in case any specificdisease process which may require specificdrugs apart from routine anti-inflammatory/analgesics. Sohave a work out with an ortho specialist/rheumatologist as well