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Doctor insights on: I Have A Synoid Cyst Between My 4th And 5th Lumbar Vertebrae That Is Causing Severe Pain From Hip To Ankle In My Right Leg What Are Treatment Options

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I have a synoid cyst on my spine between the 4th and 5th lumbar vertebrae causing severe pain from hip to ankle on my right leg. What are treatment op?

I have a synoid cyst on my spine between the 4th and 5th lumbar vertebrae causing severe pain from hip to ankle on my right leg. What are treatment op?

See a surgeon: You need to see a neurosurgeon to discuss options. Generally the treatments range from physical therapy, epidural or other injections, or surgery. A neurosurgeon can best advise you. ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


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I have pain in my lower right side, by the pelvis, radiating towards lower back and severe pain down my right leg, with nausea. What should I do?

I have pain in my lower right side, by the pelvis, radiating towards lower back and severe pain down my right leg, with nausea. What should I do?

See your doctor: You should let your doctor know you are having pain. He/she can examine you and possibly run tests to find out the cause. ...Read more

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Have had 2 L5 surgerys Cannot put weight on left leg if I move it severe pain from spine over Left buttock and hip do I go to Dr or Hospital?

Have had 2 L5 surgerys Cannot put weight on left leg if I move it severe pain from spine over Left buttock and hip do I go to Dr or Hospital?

Same as before: Sounds like you are having an acute flare of sciatica. These symptoms will usually resolve within days to weeks. Recommend OTC antiinflammatories and or acetaminophen. If this does not help the pain enough or there is weakness in the leg, then I would recommend seeing your physician for further evaluation and management. ...Read more

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I have experienced severe right leg pain. Almost and electrical sensation I have lower l4, L5 deteriotion and I get spinal injection. But this time it has not helped the pain in my right from the hip to my foot when the pain hits the hardest I sweat prof

Back: Back and leg pain can be caused by disks, stenosis, slipping of the spine (spondylolithesis), foraminal stenosis, spine fractures, etc.

Most likely your right leg pain is from herniated l4-5 disk. Patients with disk herniations may benefit from giving time for the pain to settle, physical therapy, steroid injections and surgery. If the disk herniation did not respond to steroid injection then you should see a spine surgeon to discuss surgical options. There has been many advances in spine surgery and I would recommend looking into endoscopic spine surgery. Please see my health guide on lumbar disk herniations and sciatica.

Maximum Ibuprofen dose varies on your weight and medical conditions I recommend discussing this with your doctor.

Good luck! ...Read more

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Mri says protusion at l5 s1 left greater than right s1 nerve root but pain is at right hip and leg no pain at left side what treatment is best.

Back pain: You are too young. Just take some over the counter Aleve (naproxen) 500mg 2x a day after food. Do proper back exercises which you can do after watching some free videos in the internet. Be patient and wait. It will take 2-6 weeks for it to heal on its own. ...Read more

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I had a biopsy to my lower lumbar, now I have pain down my right leg, what do you think? I had a biopsy done between my l4-l5, when I woke up I had pain all down my right leg. The doctor said it would pass. I went to another doctor and he said told me tha

Hello,: Hello, I can not tell you the cause of your pain. However, when working around the spine, it is often necessary to work around, or handle nerve roots which can subsequently become inflammed and painful. The opening where the nerve exits is sometimes drilled wider so that it will not impinge on the nerve root. However, especially if the space was tight, it would be difficult not to cause some inflammation of the nerve root. Pain radiating down the leg can sometimes be caused by inflammation of the sciatic nerve. Don't know when your surgery was done. If it is recent, it may take a while for the inflammation to resolve. You might ask your doctor to prescribe medication in the meantime. Take care. ...Read more

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I keep waking up or being woken up by severe pain in my right hip joint. Sometimes, like today it lasts all morning. And causes acute pain when I try to use my right leg.

I keep waking up or being woken up by severe pain in my right hip joint. Sometimes, like today it lasts all morning. And causes acute pain when I try to use my right leg.

Sorry for your pain: Try lying flat on your back either on the floor or in bed. Bring your right knee up to about 90 degrees - like you are going to pull it to your chest but not so far. Slowly and gently, rotate your right knee towards the left. If it reproduces your pain, it could in fact be coming from the ball and socket hip joint. You really need to see your doc and get an xray of the right hip. ...Read more

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Bump by bum pant line r leg. Popped inward. Few days later severe pain in right hip back. Every time I pop in get worse pain in hip. Related? Cyst?

Bump by bum pant line r leg. Popped inward. Few days later severe pain in right hip back. Every time I pop in get worse pain in hip. Related? Cyst?

Bump on buttocks: Would f/u with doc could be cyst or abscess and should be treated /removed. Likely there is nerve irritation/ compression but if infectious do not want it to persist and extend. F/U with doc urgent care. ...Read more

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Veins in my l4&l5 pinched my spinal cord in pregn. Right leg is still numb 2yrs later. Lower back pain, feels like crushing&grinding. Long term affects?

Veins in my l4&l5 pinched my spinal cord in pregn. Right leg is still numb 2yrs later. Lower back pain, feels like crushing&grinding. Long term affects?

Need to evaluate: This should not have persisted so long. Your description is consistent with nerve compression in your lower back causing a lumbosacral radiculopathy. Whether this is due to aberrant blood vessels or a disc herniation needs to be discovered. An MRI and an EMG should help. See your doctor and get this answered and treated. ...Read more

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I have severe pain in my right leg due to an ovarian cyst. I can actually feel the bones hurt. Is it normal?

Remote possibility: The only way I can imagine the association of your leg pain and ovarian cyst is pressure effect of the cyst to nerves supplying the lower extremities. For this to happen, the cyst should be big and would produce other symptoms first than leg pain ...Read more

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Severe pain in my hip I have had this severe pain in my hip for 6 months, the pain is mostly near the groin area especially after getting up in the mourning or lying down watching tv. I have limited motion when raising my right leg but the left leg is ok.

I: I do not know your age or if you have any concomitant illness. If you have degerative changes this might be anought to give you pain. You should try excersises in a pool and Acetaminophen 1000 mg three times a day, an over the counter med
and see if after two or three weeks you get better
and keep the follow up with the ortho or consult a rheumatologist. ...Read more

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Severe pain in right leg like muscles pain from hip to foot swelling of foot.

Severe pain in right leg like muscles pain from hip to foot swelling of foot.

Vascular obstruction: This could be a disturbance of the flow in the vessels to that leg. Is it worsened by activity? This should be checked out by your general physician as soon as you can because it could also be a vascular event which could lead to life threatening pulmonary emboli. ...Read more

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My recent MRI result is diffuse disc bulge ar l3l4 and L4 L5. ..Pls tell me the best treatment and I am having severe pain in back that goes to leg?

My recent MRI result is diffuse disc bulge ar l3l4 and L4 L5. ..Pls tell me the best treatment and I am having severe pain in back that goes to leg?

Bulging discs: Bulging, or herniated discs, typically resorb over time. Treatment varies based on the severity of pain and whether you have any neurologic deficit. Treatment can consist of physical therapy and medications or possibly epidural steroid injections or discectomy for very severe pain. ...Read more

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What are best treatment options for l5-s1 slipped disc with numbness and shooting pain in entire leg.

What are best treatment options for l5-s1 slipped disc with numbness and shooting pain in entire leg.

Multilevel: Physical therapy, nsaids, cessation of tobacco and avoidance of aggravating factors is a start. However, since there is shooting pain in the "entire leg", the disc is likely irritating more than one nerve root (s1, l5, and possibly l4). Lumbar epidural steroid injection may be beneficial. If not readily available, a 7-14 day Prednisone taper can be tried but less effective. Surgery may cure it. ...Read more

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I have a bilateral L5 pars defects and grade 1anterolisthesis of L5 relative to L4 and S1 I've been having back pain and hip and leg pain what is the options í have and will surgery fix my pain?

I have a bilateral L5 pars defects and grade 1anterolisthesis of L5 relative to L4 and S1 I've been having back pain and hip and leg pain what is the options í have and will surgery fix my pain?

A spondylolisthesi-: -is, usually causes mainly back pain. L5 on S1 may cause some hip pain. But in young people+/-20, it is usually back pain. In older it may also cause spinal stenosis which is may B leg & back pain. The spine surgeons object is 2 relieve your pain. My wife at 66yrs had a fusion L4-S1, & has never looked back. Exercises @ a gym, , no pain. Not all R success stories. Listen 2 adverse effects. Goodluk ...Read more

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Multilevel hemangiomas with moderate to severe pain, with radiculopathies. How serious is this? C6, T2, L3, L4, L5. abd, back, and leg spasms. Limb

Multilevel hemangiomas with moderate to severe pain, with radiculopathies. How serious is this? C6, T2, L3, L4, L5. abd, back, and leg spasms. Limb

Vertebral: Hemangiomas are common incidental findings on MRI. The vast, vast majority are of no clinical concern whatsoever and require no follow-up. It would be almost inconceivable that they could be responsible for your multilevel symptoms. ...Read more

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My husband is having pain in his lower back and burning in his right hip and down right leg. He is a sanitation driver. Did the job cause the problem

Possible Job Injury: What you have described appears to be the symptoms of sciatica, which may be from a disc herniation. If there was a reported work accident, then the care in most cases would be through his worker compensation coverage. If no accident resulted in this pain, the determination of whether or not it is associated with his job may need to be determined by his treating doctor. ...Read more

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My right leg from hip to little toe hurts only when laying down. That knee has been stiff and popping and my lower back is sore too. Causes of leg pai?

Could be back: Considering hurts when laying down. Emg/NCV studies should be helpful as would an MRI of the lower back... ...Read more

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Severe pain i, have had this pain which i, thought was my groin area for about 3 months, I get a shooting pain near my inner groin and pelvis area when i, lift up my right leg, it is only my right side not my left side that hurts. I, can't sleep at night

Hello.: Hello. Since this has been evaluated, no problem has been identified that requires surgery and medication is not working, recommend you consider medical acupuncture to augment your treatment. There are more md's and do's being trained in acupuncture through out the us. This can often provide assistance in functional problems when western medicine sometimes can't. I am a western trained physician, but I am so glad that acupuncture provides me with other ways to help my patients with pain. Take care. ...Read more

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Severe pain in lower right abdnom and right side of lower back down all of right leg hard to walk?

Medical treatment: You need medical treatment, if your pain is that severe it may be your appendix, your ovary, a renal stone, etc. See if someone can take you to the er. ...Read more

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Severe pain in the hip and leg with them tenderness and soreness waiting radiating put my lower back?

Recommendation: Your condition require doctors evaluation and some test to make a reasonable diagnosis. Please, make appointment. The sooner the better. ...Read more

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Do I have appendicitis? I am having severe pains in my right side. The pain is between my lowest two ribs near my hip and also in my lower back. It hurts to breathe and when I pull my right leg up to my chest, it hurts quite a bit. It started yesterday an

Hello.: Hello. I do not know if you appendicitis. Sometimes the pain from an inflamed appendix can start around your naval. The pain usually worsens and then can be felt in the area of the appendix (right lower quadrant of your abdomen). Usually the area is tender when touched. You likely don’t feel like eating if you have appendicitis and you can experience nausea, vomiting or a fever. You indicated that you have been coughing & sneezing which makes the pain worse. You certainly could have strained muscles from this. I once coughed so hard that I broke my rib. The way I am visualising your pain, it doesn't jump out as appendicitis. However, with that said, appendicitis can have a number presentations. The basic recommedation in medicine, is that any new source of severe abdominal pain should be emergently evaluated. So, it you are having severe abdominal pain (i was having a hard telling if it was flank/back) you should have it evaluated post haste. ...Read more

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I have bulging at l4-5 and l5-s1 and severe pain in hips and lower legs. What should I do?

I have bulging at l4-5 and l5-s1 and severe pain in hips and lower legs. What should I do?

Sciatica: Staying active without overdoing. Stretching exercises as tolerated. Non-steroidal antiinflammatories - naproxen, ibuprofen, etc.
Comfortable mattress, preferably memory foam, orthopedic one. If not better in 1-2 weeks, see doc. May need stronger pain killers for a short while. ...Read more

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I have a sixth lumbar vertebrae and pain in hips. I've started getting pins and needles up and down left leg, painful. Is my extra bone causing this?

I have a sixth lumbar vertebrae and pain in hips. I've started getting pins and needles up and down left leg, painful. Is my extra bone causing this?

Possibly: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more

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Why am I have pain in my lower back hip all the way down to my ankle and nothing helping I even loose use in my right leg?

See a doctor: Back coupled with a loss of function requires an in person evaluation with your physician. There are many possible causes of your symptoms. Please see a doctor asap :) ...Read more

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Have L4-5 Broad disc, no canal stenosis but contacts transisting L5 and exiting right L4 nerve roots. What can this cause? I have dull ache right leg

Have L4-5 Broad disc, no canal stenosis but contacts transisting L5 and exiting right L4 nerve roots. What can this cause? I have dull ache right leg

Correlation: The right leg pain could be due to the disc affecting the right L-4 nerve root, and an EMG test might provide definitive confirmation. However, this is likely to be successfully handled by conservative physical therapy, and if you are patient, eventually the disc could desiccate and shrink. ...Read more

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Can a large cyst at left L4 L5 cause right lower back hip pain and sciatica?

Can a large cyst at left L4 L5 cause right lower back hip pain and sciatica?

Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more

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Increasing numbness limbs constant pain and spasms in lower & upper back & down left leg, MRI lumbar showed bulge disk L4 l5, rotatory scoliosis causes

Increasing numbness limbs constant pain and spasms in lower & upper back & down left leg, MRI lumbar showed bulge disk L4 l5, rotatory scoliosis causes

Nonspecific: Believe it or not, scoliosis does not cause pain for most patients - unless the scoliosis is very severe. Similarly, a disk bulge is often of no consequence, and is simply a normal finding as we age. See a physician (consider seeing a neurologist since you have numbness) for further evaluation. ...Read more

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Is severe nerve root with paralysis of the inner left leg, and big toe paraylis surgicaly repairable. L4 L5 lumbar spine?

Is severe nerve root with paralysis of the inner left leg, and big toe paraylis surgicaly repairable. L4 L5 lumbar spine?

Radiculopathy: You don't mention what surgical procedure you've had previously, but an l4-5 entrapment would effect the lower extremity and not the thigh. That level would be l2-3. Assuming you've had the MRI you need of the lumbar spine, I'm surprised you haven't had an implanted stimulator to address the pain. Paralysis of muscle groups can become permanent if the entrapment persists long enough. ...Read more

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Severe hip pain that travels down my leg and into my feet. I had a hemilaminectomy in my L5 S1 15 years ago and my scar is burning...

Severe hip pain that travels down my leg and into my feet. I had a hemilaminectomy in my L5 S1 15 years ago and my scar is burning...

See your doctor: Given the past surgery, seeing your doctor is strongly suggested to determine if additional evaluation needs to be performed. You may need imaging studies to evaluate the area, depending on any findings on physical exam. ...Read more

Dr. Bradford Patt
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Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more