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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Back Pain And Numbness In The Foot And Leg?

I have severe back pain and i have lost a lot of feeling in left foot and leg the Occupational Doctor says he thinks it was caused by muscle spasms I think it could be more serious than that . It happened while I was moving items at work What do you think
Mon, 12 Dec 2016
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General & Family Physician 's  Response
hi thank you and pleased to answer you.
I think you are suffering from a sciatic disease.
The sciatic nerve (also known as the ischial nerve) is the longest nerve in the human body . It originates from several nerve branches in the spinal column, particularly the roots of the last two lumbar vertebrae (L4 and L5) and the first 3 sacral nerves. It then continues its way to the level of the buttock, at the level of the posterior face of the leg and is divided at the level of the posterior part of the knee. In this way it assures the motility and sensitivity of the leg. The sciatic nerve is involved in sciatica causing pain that can spread throughout its course, namely buttocks, thighs, legs, feet, and even to the toes. The intensity of this pain varies greatly depending on the individual, it can be accompanied by paraesthesia (sensation of tingling, electric shock or tingling) or dysaesthesia (altered sensitivity) of the lower limb. The term sciatica is commonly used to describe the pains felt in the course of lesions or irritations of the nerve. The term lumbosciatic or lumbosciatalgia is also used when the cause comes from irritations of the nerve at its origin, near the vertebrae. This can be due to a nervous infection, a rheumatic disease or compression by a tumor process or more generally a disc herniation located between two vertebrae. The use of analgesic treatments, the local injection of corticosteroids, the management by a physiotherapist can reduce pain symptoms.sometimes surgery can be the only way to reduce pain
I would ask you to take
Felden fast 20 once daily
acetaminophen 1g x4 daily every 6-8hr
and consult a rhumatologist urgently
May this opinion help you and best wishes
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What Causes Severe Back Pain And Numbness In The Foot And Leg?

hi thank you and pleased to answer you. I think you are suffering from a sciatic disease. The sciatic nerve (also known as the ischial nerve) is the longest nerve in the human body . It originates from several nerve branches in the spinal column, particularly the roots of the last two lumbar vertebrae (L4 and L5) and the first 3 sacral nerves. It then continues its way to the level of the buttock, at the level of the posterior face of the leg and is divided at the level of the posterior part of the knee. In this way it assures the motility and sensitivity of the leg. The sciatic nerve is involved in sciatica causing pain that can spread throughout its course, namely buttocks, thighs, legs, feet, and even to the toes. The intensity of this pain varies greatly depending on the individual, it can be accompanied by paraesthesia (sensation of tingling, electric shock or tingling) or dysaesthesia (altered sensitivity) of the lower limb. The term sciatica is commonly used to describe the pains felt in the course of lesions or irritations of the nerve. The term lumbosciatic or lumbosciatalgia is also used when the cause comes from irritations of the nerve at its origin, near the vertebrae. This can be due to a nervous infection, a rheumatic disease or compression by a tumor process or more generally a disc herniation located between two vertebrae. The use of analgesic treatments, the local injection of corticosteroids, the management by a physiotherapist can reduce pain symptoms.sometimes surgery can be the only way to reduce pain I would ask you to take Felden fast 20 once daily acetaminophen 1g x4 daily every 6-8hr and consult a rhumatologist urgently May this opinion help you and best wishes