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Having back ache and numbness in knee. What could it be? - Online Doctor Chats

Date : 01-Dec-2013
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor:How can I help you?
User:i am facing back ache problems last two year what should i do
Doctor:Please describe the pain in details?
Doctor:And specify your age and gender.
Doctor:I would be able to understand the problem and give you good suggestions only if you can provide a detailed account of your problem.
User:age 42, male, the problem is when i seat on the chair i feel uncomfortable at lower and middle back..
User:also feeling numness at my right knee and thigh
Doctor:Can you grade the intensity of pain on a scale of 1-10 (10 being the most severe pain you ever had)?
Doctor:Is the pain constant in nature or seen only when you sit down?
User:for back ache i will grade it 6 and for numness 7, the pain feels after two hrs table job and more pain in second half..
Doctor:Is it relieved on rest?
Doctor:Are you able to walk normally?
User:yes relieved on rest and i could walk normally... daily 30 minutes..
Doctor:Do you notice difficulties while passing stool or urine?
Doctor:May I know your current height and weight?
Doctor:And if you have any medical illness such as diabetes, high blood pressure, thyroid illness?
User:172 cm and weight 69
Doctor:And do you smoker or consume alcohol?
User:no medical illness
User:occasional smoking and once in week alcohol, some time pan
Doctor:Let me brief you now.
Doctor:The pain that you describe seems more like an mechanical pain
Doctor:due to prolonged sitting and improper ergonomics.
Doctor:However as you also reported numbness on one side of the limb
Doctor:it becomes important for us to exclude degenerative changes compressing some of spinal nerves.
Doctor:Though other causes of numbness such as vitamin deficiency or systemic illness could be co-existing with mechanical pain.
Doctor:Are you following?
Doctor:Therefore I would recommend that you get atleast X-ray of the back if not MRI scan done.
Doctor:X-ray can be taken on the lower back in erect position or as directed by an orthopedician
User:what is vitamin deficiency or systemic illness could be co exist
Doctor:If the radiological investigations reveal no significant abnormality, you will need to correct siting posture and practice proper ergonomics for long term control of pain.
Doctor:Vitamin D and vitamin B12 are common nutritional deficency that could be responsible for numbness.
User:X-ray and MRI done two year back, no abnormality seen except degenerative changes
Doctor:Besides that anemia, hormonal deficiency and others could also produce similar symptoms.
Doctor:X-rays taken 2 years ago will not reveal the current problems, especially when the pain and other symptoms have appeared significantly for the last 2 years only.
Doctor:Degenerative changes can get worse sooner if proper measures aren't taken in time.
Doctor:Therefore it would be better to get them repeated.
Doctor:You can consult an orthopedician to write for the best possible radiological investigations instead of getting both X-rays and MRI scan unnecessarily.
Doctor:Have you followed?
User:i do regular blood test by six monthly, HB is normal, noticed deficicney of D and B12
User:calcium was also noticed at border level
Doctor:As I described earlier, vitamin deficiency may be co-existing factors; but before we exclude spinal conditions, i cannot label that these deficiency are responsible for your complaints.
Doctor:Therefore it is essential that you get the radiological tests done again with the permission from your orthopedician.
Doctor:Hope the picture is clear to you.
User:how to improve D and B12
Doctor:Vitamin D and B12 can be corrected with improved nutrition or with supplements. However it is futile to correct something that was 6 months old.
Doctor:Therefore do not look to correct treat reports that are old.
Doctor:Look at your current problem. You have back pain
Doctor:and numbness.
Doctor:They may be related to the old reports; but it can be completely a different issue too.
Doctor:So look forward... Plan the tests/treatment for the the current problem.
Doctor:Have you followed?
User:i will get the investigation done (x-ray)
Doctor:It would be better if you can consult an orthopedician to corelate X-ray finding and order for more tests if needed to get to the root of the problem.
Doctor:Treatment will be accordingly based on the findings.
Doctor:Hope it is clear to you.
Doctor:Do you have any questions?
User:my vitamin defidency test are one month old
Doctor:If it was a month old, can I know the numbers/values?
User:HB - 15.9, Calcium - 8.8, Sugar Fasting 103. S Cholestrol 182, LDL Cholestrol 90.6
Doctor:I guess you have total calcium which is slightly low. The others seem fine...
Doctor:What other reports do you wish to discuss?
User:what should i do for icreasing calcium and B12
Doctor:I don't see your B12 values here.
Doctor:Calcium deficiency can be due to nutritional cause or vitamin D deficiency.
User:B12 values do not have right with me but are at border level..
Doctor:Any way, there are calcium supplements such as omnical which you can take; besides adding calcium rich diet such as cereals, green vegetables, milk and milk products, all types of grams, lentils and so on.
User:thank for the information and advise...
Doctor:B12 are rich in non vegetarian diet. If you are pure vegetarian then cereals, green leaves, mushroom, spinach, potato, corn are few vitamin b12 rich products.
Doctor:Hope I answered all your questions.
Doctor:Do you have any other questions.
User:no thanks
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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