### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i have had an emg - summary is acute denervation noted in thr right vastus lateralis to a remarkable degree with a lesser amount of acute denervation evident in the right adducter magnus. this is due to high lumbar radiculopathy at the L2-L4 level - recruitment is still present so maybe the nerve is not severed.also, loss of amplitude in the right peroneal nerve when compared to the left.this happened during a spinal injection for low back pain at the right side L4 (my 3rd treatment after an initial 3 treatments at 1 week intervals.Now I am supposed to start physical therapy and have a neurotransmitter installed - trial for a week then permanent if it works.It is obvious I am under a good neorosurgeons care (A Fabi Kalamazoo). My question is: my back pain is not anything like my right leg pain, especially in the knees (primarily in the right knee suposedly from osteoarthritis - hips - ankles, and wrists/elbows). My back was worse untill i had the injections in my spine - how can a neurotransmitter help osteo......... pain in my hips and knees.Second ? = should I be working (test technician for dishwashers - yes on the floor alot) - I obviously fall alot, my right leg just acts like it is not there - if I forget to lock my knee, I fall!

### output:

Thank you for the question. Good that you are seeking help from a good neurosurgeon and undergoing right tests as well. For arthritis of knee and hip may consult a hip/knee surgeon/orthopedic surgeon also. Plain X-rays of hip and knee may show whether you have osteoarthritis and status of spurs or degenerative changes, loss of space cartilage etc. which shall determine further line of management-conservative on medicines physical therapy OT surgical if advanced Also have complete arthritis blood profile done for polyarthritis /arthralgia just in case any specific disease process which may require specific Chat Doctor.  Shave a work-out with an or tho specialist/rheumatologist as well