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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Tight And Aching Pain Caused Due To Arthritis?

Hi, My name is Carolyn I am 60yrs old I had an L5 disc rupture when I was 39, now I have arthritis in L5 L6 the middle of my back and neck. For the last 4mths I have had tightness in the lower legs also aching, I can handle it in the day but at night it is getting unbearable. I am taking 2x3 of panadol osteo and Tramadol when necessary. Three days ago I went off painkillers to see where I was at and I could hardly walk the pain was in my left foot as well.
posted on Wed, 15 Jan 2014
Twitter Wed, 15 Jan 2014 Answered on
Twitter Thu, 16 Jan 2014 Last reviewed on
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

From the given description of your symptoms, I suspect SPINAL CANAL STENOSIS ( narrowing of the bony spinal canal compressing the spinal cord) as the cause of your symptoms, which might have developed secondary to degenerative changes in the vertebral column and facet joints.

An MRI scan of the Lumbar spine will establish the severity of the problem.

In most cases, treatment of lumbar canal stenosis will first be attempted with a series of conservative, non-invasive techniques such as:

• Strengthening exercises – this may seem counter-intuitive, but one of the best ways to alleviate back pain is with targeted exercise. While you want to be careful not to overdo it, building up strength in your back can reduce swelling and help prevent re-injury.
• Stretching techniques – like strengthening exercises, proper stretching or yoga classes are a great way to increase the flexibility in your spine and prevent further damage.
• Hot or cold therapy – introducing a heating element to your stenosis increases blood flow and expedites the healing process. If your stenosis is caused by swollen back muscles, ice packs can be a great treatment option.
• Limited rest – while becoming sedentary can be one of the worst things you can do, taking a day or two to allow your back to heal can make all the difference.
• Improve your posture and diet – something as simple as shedding a couple of pounds or walking with a straight back can remove a significant burden off the spine and help speed the recovery process.

If your symptoms are not improving with the above measures, consult an orthopedic surgeon for further evaluation and management.

Hope this information is helpful. Good luck

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How To Treat Tight And Aching Pain Caused Due To Arthritis?

Hi, thanks for writing to HCM. From the given description of your symptoms, I suspect SPINAL CANAL STENOSIS ( narrowing of the bony spinal canal compressing the spinal cord) as the cause of your symptoms, which might have developed secondary to degenerative changes in the vertebral column and facet joints. An MRI scan of the Lumbar spine will establish the severity of the problem. In most cases, treatment of lumbar canal stenosis will first be attempted with a series of conservative, non-invasive techniques such as: • Strengthening exercises – this may seem counter-intuitive, but one of the best ways to alleviate back pain is with targeted exercise. While you want to be careful not to overdo it, building up strength in your back can reduce swelling and help prevent re-injury. • Stretching techniques – like strengthening exercises, proper stretching or yoga classes are a great way to increase the flexibility in your spine and prevent further damage. • Hot or cold therapy – introducing a heating element to your stenosis increases blood flow and expedites the healing process. If your stenosis is caused by swollen back muscles, ice packs can be a great treatment option. • Limited rest – while becoming sedentary can be one of the worst things you can do, taking a day or two to allow your back to heal can make all the difference. • Improve your posture and diet – something as simple as shedding a couple of pounds or walking with a straight back can remove a significant burden off the spine and help speed the recovery process. If your symptoms are not improving with the above measures, consult an orthopedic surgeon for further evaluation and management. Hope this information is helpful. Good luck