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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bilateral Neural Foraminal Stenosis

Diagnosed with severe bilateral neural foraminal stenosis. radicular pain in both left and right legs. Had L5-S1 right laminotomy to remove synovial cyst several months ago, with no long-term relief of pain. What do you think would be the most likely treatment paths?
Mon, 4 Apr 2016
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Physical Therapist or Physiotherapist,  's  Response
hi,

thank-you for providing the brief history of you.

since you have undergone the surgery for the L5-S1 laminectomy by now and still the pain is persisting then now you should look for a physical therapist. The major part of the issue is helped by the spine surgeon. now looking ahead to control the symptoms and avoid it to become persistent you need to under go physical therapy sessions.

the physical therapist may initially use the therapeutic ultrasound and TENS for the pain relief. which is proved by research as well.

post that the exercise will be directed to strengthen your core muscles and spinal muscles. also the lower limb muscles will be focused too.

exercise will help you with building up strength in the muscles which will help avoid any strain coming to the nerves. since L5 & S1 is the end part of the vertebral column the whole body weight is borne by this region when you are sitting and even standing.

also with physical therapy most of my patient have received a reduction in symptoms and a long term recovery.

it will be a slow process and longer as well. bug keep patience during undergoing physical therapy as it will definitely be of help for you.

with the grace of God I wish you a speedy recovery
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Suggest Treatment For Bilateral Neural Foraminal Stenosis

hi, thank-you for providing the brief history of you. since you have undergone the surgery for the L5-S1 laminectomy by now and still the pain is persisting then now you should look for a physical therapist. The major part of the issue is helped by the spine surgeon. now looking ahead to control the symptoms and avoid it to become persistent you need to under go physical therapy sessions. the physical therapist may initially use the therapeutic ultrasound and TENS for the pain relief. which is proved by research as well. post that the exercise will be directed to strengthen your core muscles and spinal muscles. also the lower limb muscles will be focused too. exercise will help you with building up strength in the muscles which will help avoid any strain coming to the nerves. since L5 & S1 is the end part of the vertebral column the whole body weight is borne by this region when you are sitting and even standing. also with physical therapy most of my patient have received a reduction in symptoms and a long term recovery. it will be a slow process and longer as well. bug keep patience during undergoing physical therapy as it will definitely be of help for you. with the grace of God I wish you a speedy recovery