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Severe Leg Pain During Long Rides. Taking Treatment For S1 An L5 Injuries And Neuropathic Pain. Concerned

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Posted on Thu, 19 Jul 2012
Question: I have severe leg pain during long car rides. I am being treated for S1 an L5 injuries as well as severe neuropathic pain in my left femur due to multiple breaks several years ago. Is there anything I can do to prevent this pain?
doctor
Answered by Dr. Chakravarthy Mazumdar (2 hours later)
Hi,

Do you mean severe leg pain when you drive the car? If so it may be because of tight accelerator / brakes. Service them to suit to your needs. This is so because in order to use them you need to flex the plantar muscles (in the foot) which are innervated by tibial nerve which is a peripheral nerve from S1 spinal segment. The leg pain increases on constant use.

Second you should not sit for longer durations at any time, ideally not more than 15 minutes. Sitting can increase the stress on the lower back by 40%.

You should take pain modulators like Gabapentin, Mecobalamin from the treating physician.

Physiotherapy ( pain relieving exericses) and practice of yoga especially few asanas (postures) is highly recommended in consulting the doctor.

Let me know if I can address further.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Chakravarthy Mazumdar (1 hour later)
It's actually pain when I am the passenger. I think they are like muscle spasms. We have a 15 hour drive this week and I was very uncomfortable on our drive here (weare on vacation). Do you think I should check with a local urgent care or cvs clinic for medications for the drive back?
doctor
Answered by Dr. Chakravarthy Mazumdar (6 hours later)
Yes if you travel back takes long hours in the car I ask you to take appropriate muscle relaxants at the urgent care. Nothing is better than frequent breaks at every rest house.

If you do not have further queries you may close the discussion and rate my answer.



Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Chakravarthy Mazumdar

General & Family Physician

Practicing since :2004

Answered : 2242 Questions

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Severe Leg Pain During Long Rides. Taking Treatment For S1 An L5 Injuries And Neuropathic Pain. Concerned

Hi,

Do you mean severe leg pain when you drive the car? If so it may be because of tight accelerator / brakes. Service them to suit to your needs. This is so because in order to use them you need to flex the plantar muscles (in the foot) which are innervated by tibial nerve which is a peripheral nerve from S1 spinal segment. The leg pain increases on constant use.

Second you should not sit for longer durations at any time, ideally not more than 15 minutes. Sitting can increase the stress on the lower back by 40%.

You should take pain modulators like Gabapentin, Mecobalamin from the treating physician.

Physiotherapy ( pain relieving exericses) and practice of yoga especially few asanas (postures) is highly recommended in consulting the doctor.

Let me know if I can address further.