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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Back Pain With Numbness And Tingling Symptomatic Of Sciatic Nerve?

My wife has been suffering from what started out as back pain several years ago, it has now progress to severe shooting pains down her left leg to her knee as well as numbness tingling feeling in her foot.
We have seen doctors over years the pain is now constant day and night even with her medication the doctor say her pain is from the L4 area , what i would like to ask is there other ways getting this pain other than the sciatic nerve , could there been a combination of different things that her this amount of pain.
We been told that her sacroiliac joint is approx 50 millimetres out of aliment with restricted movement. Regards John
Fri, 27 Feb 2015
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM
I have gone through your query. The back pain which radiates to knees , foot and tingling feeling is most likely neuropathic pain sciatica. It can be due to compression of nerve root by lumbar disc herniation like you mentioned , from L4 area which is a common place. But conditions like sacro iliac joint dysfunction can coexist. In such case local corticosteroid injection will be helpful. If you were my patient then i would recommend muscle relaxants like cyclobenzaprine , NSAIDs like nimusulide and nerotropic drugs. I also advise physiotherapy and muscle strengthening exercises along with this. Wearing Lumbar supporting belts also will be helpful.
Hope this may help you. Let me know if anything not clear.
Thanks.
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Is Back Pain With Numbness And Tingling Symptomatic Of Sciatic Nerve?

Hi Thank you for asking HCM I have gone through your query. The back pain which radiates to knees , foot and tingling feeling is most likely neuropathic pain sciatica. It can be due to compression of nerve root by lumbar disc herniation like you mentioned , from L4 area which is a common place. But conditions like sacro iliac joint dysfunction can coexist. In such case local corticosteroid injection will be helpful. If you were my patient then i would recommend muscle relaxants like cyclobenzaprine , NSAIDs like nimusulide and nerotropic drugs. I also advise physiotherapy and muscle strengthening exercises along with this. Wearing Lumbar supporting belts also will be helpful. Hope this may help you. Let me know if anything not clear. Thanks.