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Dr. David
Dr. David, Board Certified Physician
Category: Medical
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Experience:  Experienced Physician trained in New York City. I'm ready to help.
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Clinical History Low back pain and lumbar radiculopathy

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Clinical History
Low back pain and lumbar radiculopathy
Lumbar vertebrae demonstrate normal height
End plate osteophyte formation at l1-l2,l2-l3,l3-l4.
There is loss of the space height at l2-l3, l3-l4.
The disk space heights are normal
There is no acute fracture, spondylolisthesis or dislocation.
Pain in knee and variable spaces up to hip.
Hello, this is Dr. David. I have read your question and I'm ready to help.

sounds like you have a lot of osteophytes.

I am glad you are going through physical therapy.

you might benefit from a steroid injection if the phyiscal therapy doesn't work.

has the PT helped with the radiculopathy?
Customer: replied 3 years ago.

PT has plateaued but the healthy back program is giving some additional relief.

I continued to have radiated pain mostly in the knee.

Is the steroid injection my best overall next step? Or should I start looking for a dr in neurology and or other?

seeing a neurologist as well as an interventional pain medicine doctor are good.

knee pain is most likely in the L4 dermatome

you might benefit from a steroid injection at that level which could help the pain

but continue on with PT

does this help?

do you have other questions?
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