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Intermittant pain in the left thigh - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi.
Doctor :   How can I help you?
User :   I am suffering from leg pain(Its only in the left
leg) from last 2 years.The pain is not across all leg but its limited
to thread like area in thigh and calf. Last few months I am having a
intermittant pain in the left thigh(only limited to left thigh) which
lasts for around 30-45 sec. This pain (can be camparable to muscle
cramp)is very strong. I consulted a Ortho he prescribed me
Gabapentine+mehtylcobalamine-Once daily). The intermittant pain in the
thigh is now less frequent (reduced by 80%) but still have 4-5
episodes daily and he pain is equally strong. Also the thread like
pain in left leg is persistant. Also feel weakening of lef leg
comapred to right leg.
MRI(Multipolar,multiecho MR of the lumbar spine) was performed-STIR
coronal images through bilaterla SI joints and screening sagittal
images through the cervico dorsaal spine were alos obtained, as per
the suggestion of the doctor.
The impressions of the MRI are as below.
Schmorls nodes at L2,L3 level.
Early diffuse disc bulge and ligamentum flavum thickening at L4/%
level indenting thecal sac with early effacement of exit foramina.
Kindly advice.
Doctor :   Ok.
Doctor :   Please give me a minute to read.
User :   fine
User :   the ligamentum flavum thickening is at L4 L5 level % was typo error
Doctor :   Ok.
Doctor :   Disc bulge is usually treated with rest and physiotherapy initially.
User :   what I am supposed to do at this stage. Rest +physiotherapy
Doctor :   Yes.
Doctor :   The first thing would be to have adequate rest.
User :   is spinal problem resulting into left leg pain?
Doctor :   Yes.
Doctor :   When there is a disc bulge
Doctor :   it applies strain on the spinal nerves which
Doctor :   supply the lower limbs
User :   OK will yoagaasan helps in recovery If yes any specific asan you can suggest
Doctor :   I suggest that you
Doctor :   rest for time
Doctor :   being
Doctor :   and then you can consult
Doctor :   a physiotherapy
Doctor :   specialist.
User :   ok
Doctor :   Physical therapy is a new modality
Doctor :   where there could be lessening of pain.
User :   ok
User :   thanks
Doctor :   Please fill the feedback form say done when done
User :   done
Doctor :   ok
Doctor :   If the problem doesnt reduce then
Doctor :   surgery is to be reduced
Doctor :   What is your weight?
User :   76kg
Doctor :   Ok
Doctor :   And your height?
User :   5ft 8inch
Doctor :   Ok.
Doctor :   Once the pain regresses with rest
Doctor :   then go for back strengthening exercises
Doctor :   with a physiotherapist
User :   ok
Doctor :   Also I suggest that you sleep on a firm surface
Doctor :   without a pillow.
Doctor :   You should also sit in a straight backed chair with
Doctor :   good arm rests
Doctor :   Is there any thing else that I could help you with?
User :   no
User :   thanks
Doctor :   ok
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
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