Severe pain right lower back, right buttock, right hip, right groin, entire anterior and posterior right leg with numbness from top of thigh to just below knee along outside of right leg.

I’m 63 year old female. My original injury was right patella dislocation while playing basketball at age 15. Right patella dislocation began to occur spontaneously with increased frequency. Conservative treatment consisted of alternating heat and icing, anti inflammatory medications, strengthening exercises. First surgery was meniscusectomy at age 15. Stabilization procedures not done back then. Recurrent right patella dislocations continued necessitating multiple surgeries for stabilization. Six right knee surgeries required from 1970 to 2011.

In 2011 right total knee arthroplasty due to Osteoarthritis and six revisions due to one mechanical failure as disc would spin out, two back to right knee infections, one surgery to do tissue and bone biopsies, one surgery to rule out metal allergies and last surgery to change to different manufacturer of and type of implant. Medical History of Hypertension, Hypothyroidism, Hyper Aldosteronis, Epilepsy, three episodes Deep Vein Thrombosis, three episodes of Pulmonary Embolisms, Sjogrens, Antiphosphalipid Antibody Syndrome, Renal Tubular Acidosis, Vitamin D deficiency, Calcium deficiency, Osteoporosis, Osteoarthritis, Raynaulds Disease, Migraines, Bilateral Retinal Detachments, Drug Induced Bilateral Hearing Loss, Elevated Cholesterol, Elevated Triglycerides, Angina, Functional Heart Murmur, Pneumonia 3 times, Ischemic Colitis, Toxic Colitis, Rhabdomyolysis, Viral Meningitis, Multiple Herniated Disc, Appendicitis, Cholelithiasis, Left Foot Lis Franc Fracture and Displacement of all five bones, Status Post Duodenal Ulcer, Latex Allergy Severe. Surgeries have been Tonsillectomy, Adenoidectomy, Right Wrist Surgery, Two C Sections, Appendectomy, Laparoscopic Cholecystectomy, Tubal.Ligation, Open Reduction and Internal and External Fixation, Lumbar Laminectomy L4L5, L4L3, L3L2, Thoracic Laminectomy. Multiple Anaphylaxis.

The low back pain, right hip pain, right groin pain and right leg pain are all complications from a combination of my above medical issues. The acute pain started about five days ago in the absence of any recent injury. Unable to stand straight due to pain. Pain medication, muscle relaxers, anti inflammatory medications, exercises, rest are not helping to return me back to previous level of functionality. Steroids decrease symptoms but return when weaning off the medications. My back surgeon has retired and I’m unable to see physician who took over is unable to see me until end of May.

Obviously there's nothing simple about this, but in the first instance, after only five days you can't expect to be returning to your previous level of functionality.

Unable to stand up straight, sudden onset, suggests an acute antalgia, leaning forwards or to the side, usually from a disc herniation, but sometimes due to a facet entrapment. This means bed rest with back exercises done every half an hour or so, on your bed. Sit as little as possible; every hour get up and walk about as much as you can. Continued bed rest is not advisable.

The difficulty is that with the pain in both the front and the back of the thigh, more than one nerve root is being effected, and that needs careful assessment and almost certainly a new MRI.

You are going to need professional help; this isn't straight forward. Get it now, don't delay.

General health; take a good long look at your diet; something seriously amiss by the looks of things. Get help from a dietician and be ready to make some radical changes if you want to enjoy your golden years.

Dr B

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