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Need Treatment For Sciatic Area Pain
I have been having severe (L) sciatic area pain that prevents me from sitting up to get up in the am. I have to roll out of the side of the bed. This has been ongoing 3-4 months. I do have DJD at multiple levels buts this is like no other pain I have had related to my lower back. I had a x-ray that shows Ovoid calcification lymph node overlying right lower abdomen as a incidental finding #1. I am very concerned have high history of family with RA, Lupus, Bone cancer, lung cancer, cervical cancer, CHF heart disease ,CAD, MI etc. I do have HTN, I do have fibromyalgia, neck surgery disectomy x s2. I have had bouts of low back going out but nothing like this. It is over sacrum (L) side I need some advise what I should do as far as calcification? or is there any concerns? Should I worry about my back as it is not low back its sacral... at witts end with pain
Fri, 7 Oct 2016
Hello!
Welcome and thank you for asking on HCM!
I would like to have some more information on your concern:
- Does the pain worsen during the day or during the night?
- Is the pain relieved by NSAID?
If the pain is not relieved by NSAID and it worsens during the night, a secondary cause (malignancy) should be excluded.
I would recommend consulting with your attending physician for a careful physical exam and some tests:
- a lumbar spine CT scan
- an abdominal ultrasound
- a chest X ray study
- inflammation tests (PCR, complete blood count, sedimentation rate)
- cancer biomarkers (CEA, CA19.9, CA 125, CA15-3) may be needed to investigate for a possible tumor.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Best wishes,
Dr. Aida
Welcome and thank you for asking on HCM!
I would like to have some more information on your concern:
- Does the pain worsen during the day or during the night?
- Is the pain relieved by NSAID?
If the pain is not relieved by NSAID and it worsens during the night, a secondary cause (malignancy) should be excluded.
I would recommend consulting with your attending physician for a careful physical exam and some tests:
- a lumbar spine CT scan
- an abdominal ultrasound
- a chest X ray study
- inflammation tests (PCR, complete blood count, sedimentation rate)
- cancer biomarkers (CEA, CA19.9, CA 125, CA15-3) may be needed to investigate for a possible tumor.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Best wishes,
Dr. Aida
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