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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain Post Back Surgeries

I had two back surgeries L3-4 L 4-5 first two years ago, I have a cage and rods and screws, the surgery went well then four months later I rushed for an emergency surgery apparently the disc below had broken off and went into the nerve on my left leg, leaving my left leg and foot feeling puffing/stiff and swollen and now I have been getting horrible cramps in the leg and foot, I can not exercise at all, I was an avid work out person. I can not walk barefooted. I am trying to get into a nuerolgist, although can not get into him until Oct. The twitching and pain is getting worse. I had went to my surgeon several months ago and he said I just have to take it easy for the rest of my life, after seeing the MRI he said I just tweaked something recently. He does not want to operate because he said he would have to go thru the front this time and I would become even more stiff...Please help me I am desperate!! Michele Meyer
Mon, 6 Oct 2014
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.

You may need to do MRI spine with contrast again to see for nerve compression

If you’re new MRI shows disc bulge with nerve compression then surgery may help.
Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it.

As per your previous surgery of spine now there is possibility of discitis, which can be confirmed by MRI with contrast or CT myelogram.

For these symptoms 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 TENS therapy will help
I will advise to check your vit B12 and vit D3 level.

You may need to change your spine doctor for unbiased advise.

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 Pain Post Back Surgeries

Hello, I have studied your case. You may need to do MRI spine with contrast again to see for nerve compression If you’re new MRI shows disc bulge with nerve compression then surgery may help. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. As per your previous surgery of spine now there is possibility of discitis, which can be confirmed by MRI with contrast or CT myelogram. For these symptoms 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 TENS therapy will help I will advise to check your vit B12 and vit D3 level. You may need to change your spine doctor for unbiased advise. 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.