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Suggest Treatment For Sharp Knee Pain And Lower Back Pain
Hi, my name is Tamra and I have a sharp pain in the back of my left leg. The pain starts in the middle of my knee and shoots up to the back of my leg and the pain stops at my lower back. Sometimes I have to stop what I am doing and sit down or if i keep going i will eventually fall. I also have a pain coming from the bottom of my foot on the same leg and shoots up too my knee due to the fact that I also have Plantar Fasciitis. I have done and MRI and I have also tried therapy and nothing is working and I refuse to do injections. What do you think i should do and do you have an answer to what you think is going on with my leg?
Fri, 22 Apr 2016
hi,
thank you for providing the brief history of you.
A thorough neuromuscular assessment is advised.
i read your whole history and what i understood is you had plantar fasciitis in the past for which you have undergone the physical therapy.. So now you have different symptoms like radiating pain which falls between the lower back and the foot. I will advice to first undergo a clinical neuromuscular assessment as this will help us further about the mechanism of injury.
As you had a past history of plantar fasciitis, what mechanism could have occured as per my understanding of the biomechanis of the human body, is that, the pain in the plantar fasciitis must have changed your gait and lead to a repetitive stress on the lumbar spine by which the nerve must have got pinched and the symptoms are arising now. Also, taking an MRI of lumbar spine, your soft tissue status can be determined. Post which, physical therapy will be advised and your case has to be treated in a special manner rather the conventional one. As the plantar fasciitis is the past history and the present history is the radiating pain.
In my clinical practice i have seen cases with similar issues and mechanism of the symptoms arise with initial issue leading to secondary injury. But with graded physical therapy they recover better with 99% optimum results.
Regards
Jay Indravadan Patel
thank you for providing the brief history of you.
A thorough neuromuscular assessment is advised.
i read your whole history and what i understood is you had plantar fasciitis in the past for which you have undergone the physical therapy.. So now you have different symptoms like radiating pain which falls between the lower back and the foot. I will advice to first undergo a clinical neuromuscular assessment as this will help us further about the mechanism of injury.
As you had a past history of plantar fasciitis, what mechanism could have occured as per my understanding of the biomechanis of the human body, is that, the pain in the plantar fasciitis must have changed your gait and lead to a repetitive stress on the lumbar spine by which the nerve must have got pinched and the symptoms are arising now. Also, taking an MRI of lumbar spine, your soft tissue status can be determined. Post which, physical therapy will be advised and your case has to be treated in a special manner rather the conventional one. As the plantar fasciitis is the past history and the present history is the radiating pain.
In my clinical practice i have seen cases with similar issues and mechanism of the symptoms arise with initial issue leading to secondary injury. But with graded physical therapy they recover better with 99% optimum results.
Regards
Jay Indravadan Patel
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