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Back pain that radiates to the leg - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can i help u
User :   I have dull pain in my back since 2 months
Doctor :   ok
User :   it radiates to my right leg often
Doctor :   ok
User :   what could be the cause ?
Doctor :   i need to ask u few more questions before we arrive at the cause
User :   k
User :   go hed
Doctor :   any history of injury
Doctor :   recently
User :   no
Doctor :   do u have history of cough or fever?/TB
User :   no
Doctor :   what is the nature of pain
User :   dull aching
Doctor :   do u have leg cramps?
Doctor :   is the pain continous
User :   Doc i have heard about a disease called pagets disease on internet could it be because of that
User :   no i dont have legcramps
Doctor :   ok
User :   and th pain is occational
Doctor :   u get bone in pagets disease
Doctor :   bone pain i meant
Doctor :   it is localised pain
Doctor :   soits unlikely in ur case
User :   i dont get you. can you explain me in detail
Doctor :   in pagets disease of bone
Doctor :   there is localized bone pain not radiationg or shooting type of pain
User :   i have learned that in pagets disease yu may have low back ach
Doctor :   what is age
User :   38
Doctor :   low back pain but localised
Doctor :   not radiating
User :   k
Doctor :   pagets disease is rarely seen in people under 40
Doctor :   not always the information on net is right
User :   what happens in that
Doctor :   Paget's disease is a chronic bone disorder that is due to irregular breakdown and formation of bone tissue.
Doctor :   Paget's disease can cause bones to expand and weaken and result in bone pain
User :   is it sometning related to bone resorption
Doctor :   It is usually localized to one bone but can involve many bones
User :   k
Doctor :   not exactly
Doctor :   ur problem is more likely to be sciatica
User :   anything related to vascularization
Doctor :   unlikely
Doctor :   it can sciatica from ur history
User :   k
Doctor :   it needs physical examination as well
Doctor :   to confirm
Doctor :   u might need to get a few test done
User :   k
User :   what tests
Doctor :   MRI
User :   why not a CT
Doctor :   MRI is specify
Doctor :   to identify the cause
User :   k
Doctor :   with CT one may not be able to see
Doctor :   things clearly
Doctor :   like soft tissue
Doctor :   ok
User :   can you explain me something about pagets disease in detail. I want to get my concepts clear
Doctor :   i told the insight
Doctor :   u could specify what u would like to know about
Doctor :   Please fill this form I send, and say done when done.
User :   what can be the symptoms and signs, treatment,investigations, complications
Doctor :   ok
Doctor :   Bone pain is the most common symptom
Doctor :   Bone pain can occur in any bone affected by Paget's disease and is often worse at night.
Doctor :   headache and hearing loss
Doctor :   when it affects skull
Doctor :   Pressure on nerves may occur when Paget's disease affects the skull or spin
Doctor :   Increased head size, bowing of limb, or curvature of spine may occur in advanced cases.
Doctor :   Hip pain may occur when Paget's disease affects the pelvis or thighbone
Doctor :   arthritis
User :   can cardiac failure be a complication
Doctor :   yes
Doctor :   it can
User :   how
Doctor :   In severe Paget's disease, the heart works harder to pump blood to affected bones. This usually does not result in heart failure except in some people who also have hardening of the arteries.
Doctor :   in certain people it does
User :   is it related to vessels
Doctor :   pagets disease is realted to bones
Doctor :   r u there
User :   I think doc u need to get the concept clear. There can be a high output cardiac failure due to increased vascularization of the bony matrix which acts as arterio venus fistulas.
User :   I am a doctor
User :   nice talking to you
Doctor :   ok fine
Doctor :   bye for now
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