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Dr. Andrew Rynne

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Have OPLL In Cervical Region. Weakness In Leg, Muscle Pain, Walking Difficulty. Due To Lumber Problem?

I have OPLL in cervical region mainly C-3-C4 since 2000. After 13 years, it found non-progressive. Disc bulge due to herniation in L-3-L4 and L5-S1 causing stenosis & nerve root compression. This has progressed. Osteophyes a in lumber region & Osteo artaritis in knee I have complain in leg with weakness, muscle pain and walking difficulties.. Upper extreamies are fine in all respect Pl suggest. leg problem is due to lumber problem? How safe is MIS for decompression lumber region Can Glucosamin help
posted on Tue, 22 Jan 2013
Twitter Sun, 10 Feb 2013 Answered on
Twitter Mon, 11 Feb 2013 Last reviewed on
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

You have three distinct problems.

First, there is ossified posterior longitudinal ligament (OPLL) in the cervical region, which has not progressed for more than one decade. This can be left alone, and can be managed with physiotherapy, cervical collar, etc.

Second, there is lumbar disc prolapse and leg pain & weakness secondary to that. This may require surgery and your symptoms would improve. Your doctor is the best judge regarding surgery, as he has the advantage of examining you, which I do not have.

Third, you probably have osteoarthritis of the knees. Glucosamine would help in this. You can get further advice on this from an Orthopedic surgeon.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Have OPLL In Cervical Region. Weakness In Leg, Muscle Pain, Walking Difficulty. Due To Lumber Problem?

Hi, Thank you for posting your query. You have three distinct problems. First, there is ossified posterior longitudinal ligament (OPLL) in the cervical region, which has not progressed for more than one decade. This can be left alone, and can be managed with physiotherapy, cervical collar, etc. Second, there is lumbar disc prolapse and leg pain & weakness secondary to that. This may require surgery and your symptoms would improve. Your doctor is the best judge regarding surgery, as he has the advantage of examining you, which I do not have. Third, you probably have osteoarthritis of the knees. Glucosamine would help in this. You can get further advice on this from an Orthopedic surgeon. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist