Having back ache and numbness in knee. What could it be? - Online Doctor Chats
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i am facing back ache problems last two year what should i do
Please describe the pain in details?
And specify your age and gender.
I would be able to understand the problem and give you good suggestions only if you can provide a detailed account of your problem.
age 42, male, the problem is when i seat on the chair i feel uncomfortable at lower and middle back..
also feeling numness at my right knee and thigh
Can you grade the intensity of pain on a scale of 1-10 (10 being the most severe pain you ever had)?
Is the pain constant in nature or seen only when you sit down?
for back ache i will grade it 6 and for numness 7, the pain feels after two hrs table job and more pain in second half..
Is it relieved on rest?
Are you able to walk normally?
yes relieved on rest and i could walk normally... daily 30 minutes..
Do you notice difficulties while passing stool or urine?
May I know your current height and weight?
172 cm and weight 69
And do you smoker or consume alcohol?
no medical illness
occasional smoking and once in week alcohol, some time pan
Let me brief you now.
The pain that you describe seems more like an mechanical pain
due to prolonged sitting and improper ergonomics.
it becomes important for us to exclude degenerative changes compressing some of spinal nerves.
Though other causes of numbness such as vitamin deficiency or systemic illness could be co-existing with mechanical pain.
Are you following?
Therefore I would recommend that you get atleast X-ray of the back if not MRI scan done.
X-ray can be taken on the lower back in erect position or as directed by an orthopedician
what is vitamin deficiency or systemic illness could be co exist
If the radiological investigations reveal no significant abnormality, you will need to correct siting posture and practice proper ergonomics for long term control of pain.
X-ray and MRI done two year back, no abnormality seen except degenerative changes
X-rays taken 2 years ago will not reveal the current problems, especially when the pain and other symptoms have appeared significantly for the last 2 years only.
Degenerative changes can get worse sooner if proper measures aren't taken in time.
Therefore it would be better to get them repeated.
You can consult an orthopedician to write for the best possible radiological investigations instead of getting both X-rays and MRI scan unnecessarily.
Have you followed?
calcium was also noticed at border level
As I described earlier, vitamin deficiency may be co-existing factors; but before we exclude spinal conditions, i cannot label that these deficiency are responsible for your complaints.
Therefore it is essential that you get the radiological tests done again with the permission from your orthopedician.
Hope the picture is clear to you.
how to improve D and B12
Vitamin D and B12 can be corrected with improved nutrition or with supplements. However it is futile to correct something that was 6 months old.
Therefore do not look to correct treat reports that are old.
Look at your current problem. You have back pain
They may be related to the old reports; but it can be completely a different issue too.
So look forward... Plan the tests/treatment for the the current problem.
Have you followed?
i will get the investigation done (x-ray)
It would be better if you can consult an orthopedician to corelate X-ray finding and order for more tests if needed to get to the root of the problem.
Treatment will be accordingly based on the findings.
Hope it is clear to you.
Do you have any questions?
my vitamin defidency test are one month old
If it was a month old, can I know the numbers/values?
I guess you have total calcium which is slightly low. The others seem fine...
What other reports do you wish to discuss?
what should i do for icreasing calcium and B12
I don't see your B12 values here.
B12 values do not have right with me but are at border level..
Any way, there are calcium supplements such as omnical which you can take; besides adding calcium rich diet such as cereals, green vegetables, milk and milk products, all types of grams, lentils and so on.
thank for the information and advise...
B12 are rich in non vegetarian diet. If you are pure vegetarian then cereals, green leaves, mushroom, spinach, potato, corn are few vitamin b12 rich products.
Hope I answered all your questions.
Do you have any other questions.
Thanks for consulting me.
Bye for now.
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