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Lower back pain, numbness in right quadricep muscle - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2248 Questions
User :   I have had lower back pain and left rib tenderness for the last several months. This also includes numbness in my right quadricep muscle. The pain has increased over the last 2 days and is accompanied by fatigue and nausea. I have not had any injuries that would cause this kind of pain.
User :   hello?
Doctor :   hello
Doctor :   i am Dr
Doctor :   give me a min let me read your query please
Doctor :   may i know your age and gender please ?
User :   I am a 36 year old female
Doctor :   do you have any other medical condition ?
User :   I have hypertension which is treated with Adalat 30mg/day and Atacand plus 16/12.5mg once a day. I have generalized anxiety disorder which is treated by Effexor 300mg/day and Mirtazapine 15mg at bedtime. I have OSA which is treated by CPAP as well as trigeminal neuralgia.
Doctor :   does your job requires long hours of sitting ?
User :   My previous jobs did require a lot of sitting (I was a draftsman). But I have been off for the last year on stress leave. I now am in the process of opening my own business. I don't do a lot of sitting now. More running around.
Doctor :   ok
Doctor :   is the pain constant ?
User :   yes
Doctor :   any medications for the pain ?
User :   I took 2 Aleve for it yesterday. And it helped it a little bit. But by the evening it was bad again. ANd this morning I could barely move.
Doctor :   ok well it can be a nerve compression causing this severe pain
Doctor :   you would have to get an X RAY done
User :   ok. Would this also be causing the rib tenderness?
Doctor :   the nerve course can be the cause
Doctor :   once a X ray is done we can find out the root cause
Doctor :   and you can be treated accordingly
Doctor :   but such a severe pain where you cannot move do need medical attention
User :   What can be done for something like this?
Doctor :   usually physio therapy works wonder
Doctor :   its is very effective in releasing the tension of a compressed nerve
User :   I have tried doing back exercises from a physiotherapist in the past when this first started and found little if no relief from them. It ended up causing muscle spasms and made the pain worse. SO you can imagine my reluctance.
User :   And now, I continue to get bad spasms every once in a while, from even slight movements.
Doctor :   i can understand
Doctor :   but a X RAY is must
Doctor :   to see what exactly is causing this
User :   ok. I will see when the soonest I can get in to see my GP for a requisition is. I live in Canada, so sometimes it is a bit of a wait. Even the ER's are backed up. SO if I try to go there, it will be a 4-6 hour wait. I don't know if I can sit for that long.
Doctor :   dont worry you will be fine
Doctor :   diagnosing the problem is the KEY in treatement
User :   Ok. Thank you.
Doctor :   your most welcome
Doctor :   take care
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