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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 The Hip And Lower Back Radiating Towards The Knee?

I m having severe hip and lower back pain, that radiates down the side of my leg by my knee. I can t sleep on it, and I can t walk when I get out of bed. I have had a fusion on L4, L5 and S1 about 7 years ago, but I did not have the severe pain in my hip. It is only on my left side
Tue, 7 Nov 2017
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Orthopaedic Surgeon,  's  Response
Dear patient
your symptoms are pointing towards diagnosis of nerve root compression with radicular pain. since you are operated on lumbar spine this possibility should be ruled out first. I would like to advise digital xray of lumbo sacral spine anteroposterior and lateral views. This gives insight to alignment of spine and disc spaces. I would also like to advise mri of lumbo sacral spine if possible and not contraindicated due to spinal surgery and implants in back. Meanwhile take strict bed rest on hard surface and keep hip and knee flexed with pillow underneath. Start tab pregalin x 75 one at bedtime for pain relief along with tab myoril 4 mg twice a day. Avoid forward bending and weight lifting. if not relieved within 5 days you need to consult spine surgeon nearby you. thanks.
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What Causes Severe Pain In The Hip And Lower Back Radiating Towards The Knee?

Dear patient your symptoms are pointing towards diagnosis of nerve root compression with radicular pain. since you are operated on lumbar spine this possibility should be ruled out first. I would like to advise digital xray of lumbo sacral spine anteroposterior and lateral views. This gives insight to alignment of spine and disc spaces. I would also like to advise mri of lumbo sacral spine if possible and not contraindicated due to spinal surgery and implants in back. Meanwhile take strict bed rest on hard surface and keep hip and knee flexed with pillow underneath. Start tab pregalin x 75 one at bedtime for pain relief along with tab myoril 4 mg twice a day. Avoid forward bending and weight lifting. if not relieved within 5 days you need to consult spine surgeon nearby you. thanks.