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Re: Dr. W, RSD, leg edema, painful urination

Re: Dr. W, RSD, leg edema, painful urination

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Posted by MLWhitworth, MD on May 22, 2000 at 22:09:49:

In Reply to: Dr. W, RSD, leg edema, painful urination posted by P on May 22, 2000 at 21:57:56:

It is possible these are related to the cervical cord compression but may also be unrelated. The abdominal muscles are innervated by the lower thoracic and upper lumbar anterior nerve roots. The bladder is innervated by the sacral somatics (pudendal nerve) and parasympathetics, both S2-4. So the levels of the urinary problems and the abdominal fasciculations are quite different. Cervical cord compression could be causing some of these problems, but probably not in isolation without other motor or sensory deficits of the extremities. Suggest a chemistry profile, check for calcium, potassium, magnesium levels, and possibly use muscle relaxants until surgery.

: On another board I go to (mgh) there is a fellow who is scheduled for a cervical corpectomy in July. He is having terrible muscle fasiculations on abdominal palpation. He also has hugely edematous legs and dysuria. The VA hospital he goes to is constantly blowing him off.
: He has asked for help but I dont know what to tell him
: Any suggestions for him or me?
: Thank you .
: P




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