Possible lumbar spinal stenosis

My complaints of pain in left hip with numbness in buttocks and anterior aspect of left thigh with symptoms worsen standing and relieved by sitting, suggest a possible diagnosis of possible lumbar spinal stenosis at the level of L3 . Since the innervationof the left hip comes from the L3 nerve root. It is also possible that the pain is referred pain from the L3 nerve root – not unlike pain in the right shoulder from referred paid coming from C3 nerve root – the same nerve which innervated the diaphragm. For this scenario one needs inflammation of the diaphragm from an infected gall bladder; Damage of cardiac muscle T1-2 causing numbnessalonf medial aspect of forearm; careful history of appendicitis will reveal the numbness began in the paraumbilical region (innervation of appendix). The subsequent tenderness and especially rebound tenderness  in the RLQ of the abdomen id due to local inflammation of abdominal muscles in that area of the abdomen. I greatly appreciate having taking several week long courses in Orthopaedic medicine by Stephanie Suders – private physiotherapist of the famous Sir James Cyriax.While working as a Medical advisor for the Workers Compensation Board of Manitoba in the 1980’s I was appalled at the quality of the medical reports we received from the attending physician of the claimant so much so that the board on my advise sponsored a 3 day weekend workshop outlining the fundamentals of Orthopaedic Medicine- viz the examination and non surgical treatment of musculoskeletal problems.  Dr. Don Fraser and his therapist presented this course.

Author: Semeon Hrushovetz

Retired Physician, Researcher, Lifelong Learner. Promoting healthy aging and life extension. Visit: http://docSamblog.blogspot.ca -and- https://docsam.ca

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