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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Pain In Leg & Toes Suggest Hernia?

Pain satuatiated around hip joint but extends down right leg all the to big right toe. Started out I Tr ought arthritis, getting older, 61 years. nOw I think this all makes more sense. Does it sound more like bulging or herniated or neither, unbearable pain. ZMRI scheduled tomorrow?
Thu, 12 May 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank-you for providing the brief history of you

As the pain is radiating in nature it could be a degenerative disc changes leading to pinching of the nerve and the symptoms pass on by the course of the nerve. As you mentioned the pain is radiating upto the toe it could be related to the L5-S1 nerve root which is common. It is common because of two major reasons. - the L5- S1 level is the mobile joint and also it is the most weight bearing joint as well. Since you are 61, the disc degenerative changes can be expected and the treatment will be guided accordingly.

Post MRI with simple pain killers and physical therapy you will respond well.

In my clinical practice such cases respond well to a combination of drug therapy and physical therapy which includes - therapeutic ultrasound therapy and TENS therapy.

Also exercises are implemented to stabilize the spinal column and avoid future remissions. also a complete near normal functionality is achieved with physical therapy.

Regards
Jay Indravadan Patel
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Does Pain In Leg & Toes Suggest Hernia?

hi, thank-you for providing the brief history of you As the pain is radiating in nature it could be a degenerative disc changes leading to pinching of the nerve and the symptoms pass on by the course of the nerve. As you mentioned the pain is radiating upto the toe it could be related to the L5-S1 nerve root which is common. It is common because of two major reasons. - the L5- S1 level is the mobile joint and also it is the most weight bearing joint as well. Since you are 61, the disc degenerative changes can be expected and the treatment will be guided accordingly. Post MRI with simple pain killers and physical therapy you will respond well. In my clinical practice such cases respond well to a combination of drug therapy and physical therapy which includes - therapeutic ultrasound therapy and TENS therapy. Also exercises are implemented to stabilize the spinal column and avoid future remissions. also a complete near normal functionality is achieved with physical therapy. Regards Jay Indravadan Patel