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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Moderate Stenosis With Herniation Along With Severe Back Pain?

Hi, I am a 33 yr old female who has had debilitating lower back pain for over a year. As the year progressed and I had mri, CT scans, numerous blood tests ( 1/2 my thyroid removed ) and emg. My emg came back with L5/S1 radiculopathy in both lower extremities, my mri came back with only slightly herniated L5. I have also had bladder issues (incontinence). The mri of my cervical spine showed moderate stenosis with herniation of 3 discs (this does not hurt at all). I have had 3 epidural lumbar injections with no help to the leg pain. Activity makes it worse, but also can t stay in sitting or laying position very long either. I had 4 cervical epidurals as well, again with no relief. Now my entire life as I remember I have 2 lumps which were the size of a dime on my lower right back and 1 on my left. They move when they are touched. When I was younger I asked my pcp about them and he said they were just lymph nodes or muscle spasms. They are now larger than a quarter and if I press on them my limb on that side goes completely numb. I also was told that my mri revealed 3 hemangiomas but they rarely cause problems so they were dismissed as cause of possible pain. The only medication that seems to help a little is lyrica, but am not longer on it as my insurance has changed since I have not been able to walk or work. As of 3/1 I get to see a new pcp and start from scratch all over again. I have seen 3 different neurosurgeons who all just treated me like I was crazy, but they never knew about lumps in my back. I don t know where to start and really just want my life back. I had to shut down my dental practice. Could fatty cysts cause radiculopathy and nerve pain? I also am curious on looking into hemangiomas or even tarlov cysts. Also I did have a lumbar sympathetic nerve block which was the best 4 hours of the past year. Any ideas?
Fri, 27 Mar 2020
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General & Family Physician 's  Response
Hello,

It may be due to nerve compression at lumbar level.

For that you may require MRI back, nerve conduction studies after spine surgeon consultation.

You may require surgical intervention after surgeon consultation.

You can take tablet pregabalin and multivitamin after consultation.

Continue physical therapy.

Avoid strenuous activity.

Hope I have answered your query...
Let me know if I can assist you further.

Regards,
Dr Shyam kale
Family and general physician
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What Causes Moderate Stenosis With Herniation Along With Severe Back Pain?

Hello, It may be due to nerve compression at lumbar level. For that you may require MRI back, nerve conduction studies after spine surgeon consultation. You may require surgical intervention after surgeon consultation. You can take tablet pregabalin and multivitamin after consultation. Continue physical therapy. Avoid strenuous activity. Hope I have answered your query... Let me know if I can assist you further. Regards, Dr Shyam kale Family and general physician