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  • Saul.h
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    Hello Dr. Corenman,
    I am a 51 year old male who was extremely active (21 years in the Army, 18 full marathons, ultra relays, hiking 14ers, etc) until November 2017 when I blew my L3/L4.
    After my discectomy for the last 3 years I’ve struggled with gait issues on my left side and specifically I extremely supinate on my left side rolling my foot out on every step which in turn my left calf has suffered atrophy and is now significantly smaller than my right calf. After recovery I’ve engaged in everything possible from physical therapy, steroid shots, dry needling and decompression therapy… none of which have solved my issues.
    The bottom line, I just want to ‘walk’ again without the severe gait issues which draws on my energy level over time. I know my running days are probably in my past but I’d love to be able to hike over uneven terrain and go for a long walk with my dog without feeling this severe discomfort caused by this irregular gait. By the way I read your article “Walking Disorders – How Nerve and Joint Injuries Change Gait” and it’s the first thing I’ve read where it specially addresses gait change due to nerve damage, thank you.
    After over two years since the surgery, I received a new MRI and I went to a neurosurgeon and an orthopedic surgeon for a consult. Neither one of them said I needed more surgery (which I believe is a relief) but to work on my core strength. Apparently my L3/L4, L4/L5 and L5/S1 are all compressed but none are herniated/bulging.

    One specialist told me recently he believed that my nerve damage has scar tissue and that’s why nothing has worked so far.

    Besides affecting the normal activity of walking, I do not sleep well at all in one position, I find it very difficult to go down to one knee and pick something up, I grow stiff after sitting and my general quality of life after living such a fulfilling physical lifestyle is now incredibly subpar.

    What are my options at this point to move forward? What additional treatments are available to me to try? I just want to feel a fraction of wholeness by being able to walk without a gait issue that causes me such great discomfort. Thank you, Saul

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