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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Gout And Arthritis

Hey my name is Robbie 32 i m struggling quite a lot at the moment because my foot all of a sudden swelled up about 6 weeks ago for no reason.initially i couldnt walk on it for 3-4 days docs thought it was some sort of bite. I ve had lots of tests and docs don t seem to have a clue I ve had blood tests which all seem fine i had a bone scan where they could see that there was a problem but couldn t identify problem,they say maybe gout or another sort of arthritis but whats worrying me now is i have bad back pains which have been awful and pains in side of leg going up from a reoccurring pulled muscle in bum to side of hip so really struggling with walking the past 3 weeks and thats more because of this pain in leg and side thats actually on left side bad foot right side i am very active so worried about whole situation. When i am moving around at night or i have to get up it takes ages because its so painful I m 32 for my job i walk around all day so have not been to work much and when i go by the end of day foots swollen and am hobbling funny got an mri on monday but the doctors are not really concentrating on other factors like leg and back just my foot your thoughts would be appreciated Many thanks Robbie
Wed, 25 Mar 2015
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

According to your symptoms this looks as acute lumbar muscle sprain in your lower back.

Another differential diagnosis can be lumbar disc bulge leading to sudden onset of pain.Intervertebral disc compresses spinal cord and leads to lower back pain.


MRI spine will show any disc bulge is there or not so I will advise MRI spine.
And when muscle sprain is confirmed muscle relaxant, analgesic and neurotropic medication can be started.
Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you find this answer helpful do not hesitate to rate this answer at end of discussion.
Wishing you good health.

Take care
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Suggest Treatment For Gout And Arthritis

Hello, I have studied your case. According to your symptoms this looks as acute lumbar muscle sprain in your lower back. Another differential diagnosis can be lumbar disc bulge leading to sudden onset of pain.Intervertebral disc compresses spinal cord and leads to lower back pain. MRI spine will show any disc bulge is there or not so I will advise MRI spine. And when muscle sprain is confirmed muscle relaxant, analgesic and neurotropic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care