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MRI for burning and tingling in thigh with chronic back ache - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions

Doctor :   hi
Doctor :   how can i help you
User :   Hello, I am 60 year old Male, from India. Have chronic back ache and now tingling sensation in my right thigh also.
Doctor :   since when u have backache and tingling sensation in thigh
User :   Back ache started some 15 years ago it comes abd goes occasionally. Tingling sensation in the thigh started some 6 months back is still persisting.
Doctor :   ok
Doctor :   did u sustain any injury any time
User :   No
Doctor :   in recent past
Doctor :   For Health purposes please provide your , Gender, Location, Occupation, Marital status, Height and Weight, Waist Circumfrence.
User :   NO
Doctor :   please type in small letters

Doctor :   hi
Doctor :   are you there?
User :   Ok, i.m back at the chat now. could you now tell me what is my health problem
Doctor :   sure, i need to know ur detailed medical history to arrive at the possible cause
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing?
User :   i,m male, aged 60 years, male, married,live in Calicit, India, now lead a retired life 9 was a banker by profession0 married, my height is 170 cms, weight 76 kg, wiast measurement 38 inches. Is this details ok
Doctor :   ok
Doctor :   If yes how much/how often and how long you have?
Doctor :   as this is online medical consultation and i cannot examine you at this time, i need to ask few more questions, please bear with us
User :   i do not smoke, use tobacco, or alchol or drugs of any sort. no betel nut chewing also.
Doctor :   Please mention about the Sleep, Stools and Appetite, any specific problems with them
User :   yes, i have sleep problem sometimes, very little stool, my appetite is normal
Doctor :   ok
Doctor :   Any history of Allergies/ Diabetes/ High Blood pressure/ Thyroid/ Heart disease/Asthma/Stroke/Breathing problems
User :   I have no allergies, is not diabetic, my bp is within normal range, no heart disease, asthma stroke or breathing problems. i had thyroid problem ( hypothyroid) some one year back and after taking thyronorm tablets for 1 year it is normal now.
Doctor :   ok
Doctor :   did u have similar complains in the past?
Doctor :   anytime u had CT scan or MRI done of the spine in recent past or consulted for this problem ?if do have reports please could u type the report
User :   i have this intermittent back-ache for the last 15 years. sometimes when it starts, i can't bent, i have to take rest for few days and it gets alright after few days rest. now if i bent down to do any work like gardening fgor sometime at a stretch, i experience this back ache after my work. the tingling and burning sensation on my right leg ( outer thigh) is of recent origin. just started 6 months back. I did not have an mri or ct scan of the spine so far.
Doctor :   from the history i could think of few things
Doctor :   which might be possible causes of ur problem
Doctor :   of tingling and burning sensation
User :   ok, just tell me your views
Doctor :   Any type of tingling, burning, or numbness is usually a symptom related to a sensory nerve being damaged, diseased, or injured
Doctor :   causes depend on the exact location of the paraesthesia sensations, but typically include a physical nerve injury type condition
Doctor :   injury can be for example a nerve entrapment or some type of pressure being applied to a nerve directly or to the spinal attachment of that nerve
Doctor :   or a disease condition affecting the nerves e.g. neuropathy, diabetic neuropathy, multiple sclerosis, diabetes, and others)
Doctor :   Any of these tingling or numbness symptoms are more than just annoying; they can indicate a serious medical condition and require prompt medical diagnosis
User :   dou think the burning sensation of the thigh and the back ache are related issues, or isolated cases. which specialist should i consult for this , i mean a neurologist, or an orthopaedician or a neuro surgeon
Doctor :   it could related to each other
Doctor :   also the burning sensation in ur feet since 6 months
Doctor :   can be due to diabetes or associated nerve injury
Doctor :   either way i would suggest u to consult a neurologist
Doctor :   please dont ignore
Doctor :   u may need MRI scan of ur spine
Doctor :   along with few tests like blood routine, Nerve conduction studies, also get ur BLood glucose levels checked
User :   the neurologist whom i consulted told me that it is not a serious problem, he prescribed me gabapentin tablets . But the problem still persist .
Doctor :   any neurological condition cannot be assessed with history alone, it need to be confirmed with these tests and most importantly clinical examination
Doctor :   since the problem is persisting for long time
Doctor :   almost 15 years i would suggest you to please consult them again since the problem is persisting
Doctor :   it needs to be examined
Doctor :   also u r blood pressure needs to be checked as well
Doctor :   i would suggest you to join yoga as well
Doctor :   it will surely help u overcome this back problem
User :   ok, i will ask my neurologist to do the required tests. do you think an mri scan can can bring out any indication of spinal problem.
Doctor :   either way u need to keep urself fit with regular exercise
Doctor :   yes it needs in ur case
Doctor :   yes it is needed in ur case
Doctor :   small soft tissue injury or nerve damage cannot be seen in xray
Doctor :   or other radiological examinations
Doctor :   u can take second opinion
Doctor :   from any other neurologist
Doctor :   please do keep us informed regarding ur progess once u get this investigations done
Doctor :   and consult the neurologist
Doctor :   u can mail us
Doctor :   at this email id
User :   umentioned about yoga. are you an indian doctor or how did you come to know about yoga, which is an indian concept. we have alternate medicine here called ayurveda in which they massage the body with some medicated oils and treat with medicines as well for this type of problems. can i choose that option.
Doctor :   YYYY@YYYY
Doctor :   iam allopathy doctor, we are based in india
Doctor :   yoga is found to be helpful for one of health conditions
Doctor :   many people found relief with this
Doctor :   who were having back ache
Doctor :   any form of exercise is must
Doctor :   yoga is one of them
Doctor :   as of now , i would not suggest u of massage
Doctor :   as my knowledge in native medicine is limited
Doctor :   please dont ignore this backache
User :   ok, thanks for your advice. i will first have an mri scan of my spine and ask my neurologist to have other required tests also. yes, i will keep the yoga and ayurveda options as well. do you think this condition is very serious and requires immediate attention
Doctor :   get these tests done and consult a neurlogist
Doctor :   at the earliest
Doctor :   with ur medical history alone it is difficult to say
Doctor :   but any neurological problems must never be ignored
User :   ok, thanks for your patience and professional advice. I will get back to you after the tests results.
Doctor :   sure
Doctor :   i appreciate ur patience to hear my views as well
User :   thank you once again,
Doctor :   anytime u can mail us the given id if u do have any medical problems
Doctor :   we will be happy to help you with ur problem
Doctor :   ur welcome
User :   bye now
Doctor :   take care
Doctor :   good nite
Doctor :   bye for now
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