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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Back And Groin Inspite Of Taking Hydrocodone And Gabapentin?

I m 81 years old and have arthritis of my joints, as well as bi-lateral knee replacements and left shoulder replacement. I have spinal stenosis causing me a lot of pain, especially at night causing sleepless nights and falling asleep days. I am on pain relievers (hydrocodone, gabapentin) and can t be on my feet too long without a lot of pain. I hate to feel like a drug addict but without pain killers I am in pain. Cortisone shots are ineffective having had several. I m trying to avoid any surgery as long as possible and the pain in my right groin area is quite severe some nights causing my leg to be in such pain I feel like I could scream. I don t know as there is any help for me but like to read information on anything that might help. I do icing and some heat on my back, as well as pain medication. Thank you for listening to my complaints.
Tue, 21 Jun 2016
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General Surgeon,  's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to suffer from-Spinal Canal Stenosis with Compression neuralgic pains, in right groin and in legs.
The PID accompanied with Canal stenosis, is compressing on nerve roots supplying groin dermatomes -L1 on right side and hence pain in back /groin.Central pain killers like Hydrocodone and Gabapentin-can't relieve its pain due to extreme nerve roots compression.
RFA of L1 right nerve / or Alcohol inj at L1 level, would relieve such excrutiating pains.
Remedy-
PID excision / or Decompression of Spinal canal Stenosis - of Central Canal, would resolve pains in your case.
Alchoholic neurolysis would give good results at expert's hand.
Consults with Ortho-Surgeon and ruling out other causes of pain in back and groin.
CT / MRI of L1- would fix diagnosis and would help in planning best treatment in your case.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229



Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Severe Pain In Back And Groin Inspite Of Taking Hydrocodone And Gabapentin?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation, You seems to suffer from-Spinal Canal Stenosis with Compression neuralgic pains, in right groin and in legs. The PID accompanied with Canal stenosis, is compressing on nerve roots supplying groin dermatomes -L1 on right side and hence pain in back /groin.Central pain killers like Hydrocodone and Gabapentin-can t relieve its pain due to extreme nerve roots compression. RFA of L1 right nerve / or Alcohol inj at L1 level, would relieve such excrutiating pains. Remedy- PID excision / or Decompression of Spinal canal Stenosis - of Central Canal, would resolve pains in your case. Alchoholic neurolysis would give good results at expert s hand. Consults with Ortho-Surgeon and ruling out other causes of pain in back and groin. CT / MRI of L1- would fix diagnosis and would help in planning best treatment in your case. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS