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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain In The Lower Back, Groin Area And Legs. MRI Shows Impingement Of The Thecal Sac. Underwent Decompression. Cure?

Hi, I have severe pain on my lower back to my hips radiating to my groin (both) and legs (sometimes both). MRI shows mild impingement of the thecal sac to the l4/l5.Really gets worse after a workput on treadmill. Sometimes I cannot even bend! And if I do some gardening the pain remains for sevearl days I recently underwent l3/l4 decompression. Please help?
Wed, 5 Dec 2012
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General & Family Physician 's  Response
Hello Jay and welcome to HCM
You are suffering from PIVD. Precautions are the best treatment to get rid from the disease. Else you will get worsen pain. You have to take care of your spine. The best treatment can be planned under the guidance of a spine surgeon. So that he/she can decide when to go for the surgery. The precautions you have to follow strictly are:
1. Alternate hot and cold fermentation.
2. Use hard bed to sleep, avoid pillow.
3. Do not massage it, only apply anti-inflammatory gel gently to reduce pain.
4. Do regular physiotherapy and exercise by consulting you physiotherapist.
5. Avoid all long term sitting, standing and driving.
6. Avoid jerky movements of back.
7. Wear LS belt while walking, driving or gardening.

Hope this will help you.
Best Wishes
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Severe Pain In The Lower Back, Groin Area And Legs. MRI Shows Impingement Of The Thecal Sac. Underwent Decompression. Cure?

Hello Jay and welcome to HCM You are suffering from PIVD. Precautions are the best treatment to get rid from the disease. Else you will get worsen pain. You have to take care of your spine. The best treatment can be planned under the guidance of a spine surgeon. So that he/she can decide when to go for the surgery. The precautions you have to follow strictly are: 1. Alternate hot and cold fermentation. 2. Use hard bed to sleep, avoid pillow. 3. Do not massage it, only apply anti-inflammatory gel gently to reduce pain. 4. Do regular physiotherapy and exercise by consulting you physiotherapist. 5. Avoid all long term sitting, standing and driving. 6. Avoid jerky movements of back. 7. Wear LS belt while walking, driving or gardening. Hope this will help you. Best Wishes