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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Sciatica?

My husband s pain is right where the sciatica but has been told by Barrow s Nero that is what not causing his pain. He has physical therapy, Endosocopic Surgery and the pain has gotten worst and it affect it his legs which his legs never bothered him before, he has had appoxitly 42 injections for the pain and does not help. His pain is always between a 8 and 9, he is currently taking 15 mg of OxCodone HCL. His currently under a pain management doctor how has given him some anthesia injections and they didn t work. We need help. Sincerely, Yolanda Landes
Mon, 1 Aug 2016
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General Surgeon 's  Response

Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query in context to your health issues and feel concerned about them.

My Opinion-
In My opinion, in the given situation you seem to suffer from-Post-endoscopic neuronal damage for this sciatica like pain in your husband.
Endoscopy seems to have caused damage to the nerves which were to be decompressed with endoscopy, for relief of its pains.

Do's Suggested-
Consults with Orthopaedic surgeon after consults with family doctor and Surgeon, would fix your issues more.
Other causes need to be ruled out,after getting more details from you.
CT spine with Contrast would fix the cause if need be.
Rest and painkillers with no physiotherapy at this stage is advisable.
anti-inflammatory like-Tab Chymoral forte for 2 weeks would recover your husband from this pain.
If need be-NeuroSurgeon Consults with Inj Steroids-like Methyl prednisolone, by IV, or extrathecal/ intrathecal means would resolve this pain at experts hands ONLY.

Next appointment-
Asap to review and plan the treatment for existing problem .

If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.

If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Pain In Sciatica?

Hi Dear !! Thanks for your query to HCM. I reviewed facts of your query in context to your health issues and feel concerned about them. My Opinion- In My opinion, in the given situation you seem to suffer from-Post-endoscopic neuronal damage for this sciatica like pain in your husband. Endoscopy seems to have caused damage to the nerves which were to be decompressed with endoscopy, for relief of its pains. Do s Suggested- Consults with Orthopaedic surgeon after consults with family doctor and Surgeon, would fix your issues more. Other causes need to be ruled out,after getting more details from you. CT spine with Contrast would fix the cause if need be. Rest and painkillers with no physiotherapy at this stage is advisable. anti-inflammatory like-Tab Chymoral forte for 2 weeks would recover your husband from this pain. If need be-NeuroSurgeon Consults with Inj Steroids-like Methyl prednisolone, by IV, or extrathecal/ intrathecal means would resolve this pain at experts hands ONLY. Next appointment- Asap to review and plan the treatment for existing problem . If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if you don t have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS