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I have chronic lower back pain. I had an MRI over a year ago.

 
 
 

Customer Question

I have chronic lower back pain. I had an MRI over a year ago. It showed bulging discs L3,4,5 S1 and two cysts. I have been to several Drs. I had physical therapy for several months. The condition is back again, and radiates to my front hip and groin area. I been taking alleve and other anti inflammatories, for a long time. I am a nurse in the NICU. The pain is interfering with my life in general, and work. I am irritable all the time, as I am in constant pain. Why can't I find a Dr. who can do something for me. I also have had MRI on both knee's, showing little cartilege left. I had several cortisone shots, and, synvisc. I had a reaction to the synvisc. I also have severe pain at the base of both thumbs. I am 54 yrs old. Thank you

Submitted: 1008 days and 23 hours ago.
Category: Health
Status: CLOSED
 
 
 
 
 
 

Optional Information

Gender: Female
Age: 54

Already Tried:
cortisone injections, anti inflamatory drugs, physical therapy, synvisc for knees, injections in spine.

 
 
 
 
 
 
Posted by Dr. Mark 1008 days and 23 hours ago.

Response From Expert

Do you know if those were "synovial cysts" or "Tarlov cysts" or "arachnoid cysts"?

 

Have you been evaluated by a neurosurgeon?

 

Had epidural injections into the lumbar spine?

 
 
 
 
 
 
1008 days and 23 hours ago.

Customer Reply

I don't know what kind of cysts. No I have not been to a neurosurgeon. I have had 2 injections into the Lumbar spine.

 
 
 
 
 
 

Accepted Answer

OK.

 

Considering you have had epidural injections without significant relief, and a MRI of the lumbar spine which could be significant for compression of the lumbar nerves -- causing radiculopathy -- which could cause the pain that radiates in the hip / groin area (as well as down the leg), you really should have this evaluated by a neurosurgeon.

 

For example, if a synovial cyst is present at the L2-3 level, and putting pressure on the nerve there -- it can cause pain that radiates from the back, around the hip, into the upper groin and anterior thigh area.

 

Of course, without a complete exam and evaluation of your MRI, one can't tell for sure, but this certainly would help in your evaluation.

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Expert: Dr. Mark
Pos. Feedback: 99.7 %
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Answered: 8/19/2009

Doctor (MD)

U.S. Physician/Surgeon in Neurosurgery

 
 
 

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