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Orthopedics/thigh pain, possible orthotics


Hello Dr George, I am 48 years old, my weight is 74 kg and my height is 159 cm. I am a mother of 6 beautiful kids and recently I started having pain in my right thigh ( inner side) and these are results of my MRI done for lumbar spine and right hip. I wonder if you can kindly explain for me what is the problem with my back

=========== TEXT REPORT ===========
Sever pain in the right hip joint radiate to the right thigh.
Multi planar, multi sequence images of the hips were performed.
" No previous images available for comparison.
" Normal appearance of both hip joints with no evidence of effusion.
" The left iliac bone shows well defined focal fatty change , otherwise rest of the visualized bone marrow appears within normal.
" The visualized soft tissue is unremarkable.

Normal study.

NB: Pelvic congestion is noted gynecological correlation is advised.

and the second report about lumbar

=========== TEXT REPORT ===========
Server pain in the right hip joint radiate to the right thigh.
Non-enhanced multi-planar multi-sequences MR of the lumbar spines were obtained.

" No earlier films available for comparison of lumbar spine.
" Exaggerated lumbar lordosis suggestive of back muscle spasm.
" Desiccation of L2-3 and L3-4 levels.
" L2-3 level shows mild disc bulge abutting the thecal sac with narrowing of the inferior
aspects both neural foramina.
" L3-4 level shows diffuse disc bulge abutting the thecal sac with narrowing of the inferior
aspects both neural foramina.
" L4-5 level shows diffuse disc bulge abutting the thecal sac with narrowing of both neural
foramina (LT>RT).
" Rest of the lumbar discs shows no significant disc bulge or protrusion.
" The facet joints are normal.
" RVF uterus is noted.
" High signal intensity focus ~ 1 cm is seen in the left iliac bone (T2 axial Im: 23)

Multi-level degenerative disc changes with neural foraminal stenosis.
can you please explain what this sentence mean ( High signal intensity focus ~ 1 cm is seen in the left iliac bone (T2 axial Im: 23 )

I will be very thankful for your care and advice and I am sorry to take your time

Dear Om Ali,

This Orthopedic Chicago Podiatrist, Elmhurst Podiatrist & West Loop Podiatrist says.......
For your back pain...You have the beginnings of arthritis. Perhaps from carrying the kids on one side of your hip. Try carrying them on the other hip or just up front. Perhaps seek physical therapy for the possible low back spasm.
See a podiatrist who will look for a limb length difference. Orthotics may help that.
Do gentle warm-ups by moving the back in different directions. Try to stretch as much as possible-after the warm-up. Do not force-but gently push to increase movement. Try Tai-Chi, Yoga or similar-which encourages joint movement. Gentle motion helps increase lubrication-while lack of movement decreases lubrication of the joint fluid. Google low back exercises. Do these gentle exercises & stretches daily-if able to. The above advise will slow down the arthritis.
Good Luck!
The podiatrists of are specialists in foot & ankle orthopedics & sports injuries.

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661

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Dr George Tsatsos


All questions related to orthopedics of the Lower Extremities-with a specialization in Foot & Ankle Orthopedics & Surgery-Adults & Children Sports Medicine questions of the lower extremities-including runner's injuries. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating to foot and ankle problems in Children, Sports medicine of the foot and ankle Runner's and walking problems


Board Certified in Surgery & Orthopedics of the Foot & Ankle. PRIVATE PRACTICES: Ankle N Foot, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, since1980. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, since 2008 Organizations

Member American & Illinois Podiatric Medical Association Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

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