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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following MRI Result Indicate?

I was originally diagnosed with meraigia paresthetica and was told symptoms should last about 6 months, but it has been 2 years and my condition seems to have gotten worse. Now I have severe pains in both legs and spontaneous spasm with cramps like charlie horses. My MRI s show multiple herniated disc in my lower back and neck. I finally decided to get a second opinion and the new doctor diagnosed me with sciatica and a pain management doctor also believe it is sciatica. I recently had an EMG and the result are: (1) Intervertebral disc displacement of the lumbar, thoracic and cervical spine with radiculopathy, (2) spondylosis, lumbar and cervical spine, (3) myalgias. I really am not sure if I was originally misdiagnosed? and what can be done because the pain and suffering is overwhelming. I have had many medications, but got no real relief, now the doctor ordered oxycodine and I am having a difficult time getting the order filled. I have Metroplus insurance, is there a specialist that takes this insurance? and willing to evaluate my case. I really would like to have my medical condition properly treated.
Thu, 10 Jan 2019
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Orthopaedic Surgeon 's  Response
Hello,

1. What is your canal diameter at the lumbar area which should be mentioned in your MRI scan?
2. Is there any nerve root compression
3. Is there any disc desiccation at the lumbar region
4. Is there are degenerative changes in your spine at the lumbar region

These all details are there in your MRI scan

5. Do you feel any weakness in your lower limbs especially foot
6. How long you can walk
7. Are you diabetic

1. Avoid weight lifting and forward bending
2. Give hot fomentation
3. Use the hard bed for sleeping
4. Use a lumbosacral belt in the day time
5. Always sit straight with back support
6. Take Gabapentin and nortriptyline at night time for 1 month

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

Take care

Regards,
Dr Jaideep Gaver, Orthopaedic Surgeon
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What Does The Following MRI Result Indicate?

Hello, 1. What is your canal diameter at the lumbar area which should be mentioned in your MRI scan? 2. Is there any nerve root compression 3. Is there any disc desiccation at the lumbar region 4. Is there are degenerative changes in your spine at the lumbar region These all details are there in your MRI scan 5. Do you feel any weakness in your lower limbs especially foot 6. How long you can walk 7. Are you diabetic 1. Avoid weight lifting and forward bending 2. Give hot fomentation 3. Use the hard bed for sleeping 4. Use a lumbosacral belt in the day time 5. Always sit straight with back support 6. Take Gabapentin and nortriptyline at night time for 1 month Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jaideep Gaver, Orthopaedic Surgeon