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Leg Pains related to cervical spine?

Leg Pains related to cervical spine?


  OK, will try this again.  General forum said to post this here.  I am a 39 year old smoker who recently had MRI signifiant for bluging disk in cervical spine with mild cervical spinal stenosis.  For past 2 years have been brisk walking 10 blocks after work to get a bus.  During this time period I have had pains in my legs and along outer sides of knees.  Sometimes I get right hip pain which seems to be along its crest.  I am currently takine two 750 tabs of relafen.  This NSAID does not relieve the leg pains.  Is this all related to the cervical spine problem?  Is it significant enough to inform my MD in upcoming July physical?  (or should I say something sooner?)  I thought that after two years of this type of exercise that it was shin splints, but I guess not.  I went to podiatrist who said to use hell/arch supports which really don't help too much.  (I also have frequent low back pain which is aggravated by bending over doing housework.)  Your reply is greatly appreciated.
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Your leg pains may or may not be related to the cervical spine, but from the description I'd say probably not. Sounds suspiciously like a "local" process, such as arthritis but I don't have any special expertise about arthritis.
Cervical spondylosis (narrowing of the area through which the spinal cord itself passes) is not uncommon. The question is whether it means anything. Without looking at your MRI, no one could say whether the cord itself is getting the squeeze or if the canal is just a bit narrower than you'd like (without cord compression). Disc "bulging" is considered almost normal by some, just evidence of wear and tear. Disc "herniation" is different. Here, too, you can't be sure from just the radiologist's report, because not all physicians are so careful to make the distinction. Here are some numbers. In the cervical spine, the "normal" spinal canal is about 2 cm in diameter, and the cord itseelf is about 1 cm wide. That means you can get a lot of narrowing without causing any damage to the cord itself (probably a good idea from an evolutionary point of view).
There are definitely symptoms and signs which occur as a result of cervical spine compression, and those signs can involve your legs. Best bet is to definitely bring this up with your physician. He or she can determine whether you should be evaluated further by a rheumatologist or neurologist. He may suggest a course of physical therapy.
I hope this helps. As you know, this information is provided for your general medical information only. Specific comments regarding your diagnosis, prognosis, and treatment options must come from your physician after appropriate evaluation. CCF MD mdf.





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