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What causes pain in lower back, hip and leg? - Online Doctor Chats

Date : 09-Apr-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:I have pain on the left side, back, lower back and hip and now down my left leg. Pain level is about a 6 on scale of 1-10/
Doctor:Hi
User:hello
Doctor:Hello
Doctor:Give me a moment to read your query
Doctor:I have read your query
User:ok
Doctor:I need to know where this pain is originating exactly?
Doctor:Is it originating in the spine?
User:it started on the left side back and has moved down toward lower back now hip and leg pain. My first thought was maybe a pulled muscle
User:I don't know really. It is the big back muscle next to the spine
Doctor:does it mean that it started just over the hip bone?
User:No, higher up
User:several days in that area then started to move downward
Doctor:Is it below the rib
User:yes
Doctor:It seems to be kidney area
Doctor:Do you have any history of stones in kidney?
User:One, many years ago. This does not feel like the same pain.
Doctor:ok
Doctor:I would still suggest an abdominal ultrasound to see what is going on
Doctor:In the meanwhile you will need a combination of pain-killer and muscle relaxant
User:Would you suggest that I start with my Neuro doctor first or regular physician? everyone is so specialized these days
Doctor:An examination of urine is also needed
Doctor:You can start with your regular doctor
Doctor:since neuro doctor will rule out just neurological condition
User:could it be related to the spine such as a disk issue?
Doctor:If it was from spine it would have originated in the spine
Doctor:Moreover you will get numbness tingling etc
User:ok, yes that is true, because I did when I had the neck injury
Doctor:Yes
User:I have another question, could depression cause this?
Doctor:Even muscle spasms can have referred pain
User:what do you mean deferred pain?
User:referred
Doctor:Referred means when pain starts at one place and is also seen at another place
Doctor:pain always tarvels through nerves
Doctor:thats the reason
User:oh ok
Doctor:Depression should not cause it
Doctor:It may have been caused due to some nutritional deficiency or some inflammation in abdomen
Doctor:That is why I want to rule out kidney or another organ
Doctor:Do you have any doubt here?
Doctor:Most back pain clear up within one month
User:ok, I will make an appointment to see my regular physician.
Doctor:Pain killers are the mainstay will some cause is found
Doctor:Yes that is the way to go
Doctor:Meanwhile take vitamin E supplement
Doctor:It helps with muscle spasms
Doctor:Regarding pain-killer you will need stronger pain killer like aceclofenac
Doctor:This is available only on prescription
User:oh wow, did not know that. I take fish oil and vitamin d, and dhea
Doctor:Avopid fish oil
Doctor:avoid fish oil
Doctor:it has numerous side effects
User:why??
Doctor:It causes gastrointestinal problems
User:what are some?
Doctor:It may be one cause
Doctor:like diarhea, intestinal bleed etc
Doctor:Rather drink cleanest water
Doctor:It will take care of GI problems that you may be having
Doctor:I hope it helps you
User:my harmone replacement doctor has me on this. How do I approach him with this info?
Doctor:You take a printout of side efefcts from google
Doctor:You can see this chat but im not sure if you can take a printout
User:ok, thank you for your help
Doctor:ok
Doctor:Thanks for coming on chat
User:thanks for your time
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