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What Causes Severe Leg Pain?

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Posted on Fri, 20 Jun 2014
Question: I am having a bilateral incisional hernia repaired this Friday and although I don't think my question pertains to that in any way, one never knows, but you will. I have had the most excruciating pain in my legs for the past 3-4 weeks (I get bouts of it several times a year). The pain is down the front of the legs from the groin to the knee and sometimes to the foot. It is most definitely not associated with my sciatic nerve as there is no pain in the area. Sometimes I get spasms that cause my legs to jump suddenly. On a scale of 1-10 the pain is a 10. I do not or should I say I cannot lie down to sleep as the pain becomes it's worst when I do. I have been diagnosed with fibromyalgia but the pain is not associated with the trigger points for fibro. I am at my wit's end. I have been prescribes Oxycocet 5mg/325mg 2 tabs every 4 to 6 hours for many ailments that I have, but they do little to control this pain. I have even tried taking flexeril (a muscle relaxant) and/or celebrex (not great for my stomach) but nothinh helps. Do you have any idea what could be causing this? I would like to thank you in advance for taking the time to investigate this for me. I had previously asked for help after a pancreatic stent was inserted and your doctors were very fast at getting back to me.

I am assuming, that so far, you have not been able to offer any answers. I just took two over the counter sleep aids,and some oxycocet, so hopefully, I will be able to sleep. Lying down and trying to walk any distance or climbing stairs is unbearable! I will leave my question in your capable hands and I hope that tomorrow I will find an answer and some suggestions.
Thanks
Goodnight XXXX
doctor
Answered by Dr. T Chandrakant (8 hours later)
Brief Answer:
MRI /CT of the spine and affected area.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.

To come to the main point of concern which you have asked for::
I am trying to recapitulate the history you have provided.
''most excruciating pain in legs for the past 3-4 weeks (bouts of it several times a year)- down the front of the legs from the groin to the knee and sometimes to the foot. not associated with sciatic nerve- spasms that cause my legs to jump suddenly- pain is a 10 on a scale of 1-10. Medical history also noted.

Based on this history I can suggest a single investigation: MRI of the thoraco-lumbar spine and MRI of the Pelvis down to the knee. (Tell them about your TKR or CT scan if TKR does not allowing for MRI).

If I were your treating doctor, I will look for the scan reports to find out if something is amiss. You have to specifically tell them your problem for them to study the area thoroughly. I am sure you will get a proper diagnosis and lead to a proper treatment.

All the best

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes Severe Leg Pain?

Brief Answer: MRI /CT of the spine and affected area. Detailed Answer: Hi. Thanks for your query and an elucidate history. To come to the main point of concern which you have asked for:: I am trying to recapitulate the history you have provided. ''most excruciating pain in legs for the past 3-4 weeks (bouts of it several times a year)- down the front of the legs from the groin to the knee and sometimes to the foot. not associated with sciatic nerve- spasms that cause my legs to jump suddenly- pain is a 10 on a scale of 1-10. Medical history also noted. Based on this history I can suggest a single investigation: MRI of the thoraco-lumbar spine and MRI of the Pelvis down to the knee. (Tell them about your TKR or CT scan if TKR does not allowing for MRI). If I were your treating doctor, I will look for the scan reports to find out if something is amiss. You have to specifically tell them your problem for them to study the area thoroughly. I am sure you will get a proper diagnosis and lead to a proper treatment. All the best