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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Back Pain With Severe Pain In The Leg?

Hi I have been having these lower back spasms for awhile like if someone takes my nerves and twist them. Now I am a having difficult with a great amount of pain in legs to where they feel like giving out depending which way I move. This is happening to both legs; upper and lower part. What could it be with my legs its starting to scare me?
Mon, 15 May 2017
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Orthopaedic Surgeon,  's  Response
Hi there. Its unlikely that you are having any problems with your legs, so you need not worry about that. It mainly looks like you're having a disc related or degenerative problem in your back based on how old you are, and it is causing compression of nerve roots or spinal cord and causing pain over the legs which are supplied by them. Take bed rest for some 3-4 days, oral analgesics, local analgesic spray or ointments might help. You can ambulate to the bathroom to begin with and then increase slowly to around the house as the pain subsides and then resume your normal activities. In the even the pain does not settle at all, then you might need a further evaluation with X rays of your back and a check up to see if you're having any progressive neurological deficits or not. Once you regain your daily activites, try losing some weight and back muscle strengthening exercises that might avoid any recurrences in future. Thank you.
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General & Family Physician,  Dr. Dr. Parth Goswami's  Response
Hi welcome to the health care magic

You are having lower back pain and spasm with pain in both legs

You are right, as per history it seems to be pinched or compression of nerve...
Nerve might get compressed by bulging disc...

Hence after examination if needed MRI or CT scan can be planned

If it is compressed nerve causing pain then analgesic and pregabalin like medication prescribed....

Physiotherapy also beneficial

And if no benefit noted then for bulging disc like problem surgical management might needed

Take care

Hope this will help you

Consult orthopedic surgeon for examination
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What Causes Lower Back Pain With Severe Pain In The Leg?

Hi there. Its unlikely that you are having any problems with your legs, so you need not worry about that. It mainly looks like you re having a disc related or degenerative problem in your back based on how old you are, and it is causing compression of nerve roots or spinal cord and causing pain over the legs which are supplied by them. Take bed rest for some 3-4 days, oral analgesics, local analgesic spray or ointments might help. You can ambulate to the bathroom to begin with and then increase slowly to around the house as the pain subsides and then resume your normal activities. In the even the pain does not settle at all, then you might need a further evaluation with X rays of your back and a check up to see if you re having any progressive neurological deficits or not. Once you regain your daily activites, try losing some weight and back muscle strengthening exercises that might avoid any recurrences in future. Thank you.