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Suggest treatment for chronic nerve pain and muscle spasms in legs

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Posted on Thu, 21 May 2015
Question: Dr said I had ostio arthritis , ddd, ra, long story,doubel sciatica. ended getting back fusion. Was told next 2 vertabrae up were bad. I don't think the nerve repair in my leg worked as my little toe was numb after surgery now the next two are numb. I have good and lots of bad days. Lower back burns pinches all the time. I have night sweats that start about the insecion site waking up soaked. Upper legs and calves hurt weather I'm busy or not. I'm taking Hycodone -acetominiphen 7.5 325 1x 4 every 6 hours. when is it time to go back throw the towel in and have this looked at. I'm terriffied and don't want to go through this mess again. i get plenty of exersize, live in quad level, do all house work and shopping,ect. I go for 11/2 mile walks, and do core stretching got off johns XXXXXXX web sight. Also getting message. I'm exausted. Also fibromyalgia doesn,t help
doctor
Answered by Dr. Praveen Tayal (27 minutes later)
Brief Answer:
Muscle relaxants and pregabalin can help.

Detailed Answer:
Hello,
Thanks for posting your query.
You are having multiple problems that are associated with pain and nerve compression. In addition to the pain killers and regular exercise you need muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain.
You must also figure out a particular bed, preferably a coir-foam mattress, for resting and give it ample time to set in. It takes some time to do so and one should not expect immediate relief. Even the sleeping position matters, so avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time.
Epidural steroid injections and lumboscaral belt can be considered in case the pain is persistent.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Praveen Tayal (11 hours later)
Purchased a posurepedic "hospital type' bed with simi firm mattress. durring the night when the sweating starts it is usually at waist line,as though I have infection?
So i sleep on one side or other kicking bed clothes off till I cool down. Tried taking a shower before bed and tried out spraying with un-sented deoderant around my trunk and back. First time in 2 years really slept well.
I did try B12 last fall but for some reason made me very groggy.
As I said my home is a quad level, so I usually get 5,000 steps a day just in the house. everything is on a different level. The 2 back braces I have are VERY uncomfortable, and being 4'11'' was smallest they had to offer. Yes I try to be very careful with all chores, and get help as needed. Yes I've had the steroid enjections and were usless. I thought surgery would also help w spinal stenosis too. Just gut feeling I started a chain reaction,or the screws injured some spine nerves. Got up feeling great. 7:30 now 11:30 AM, leg muscles back mostly bones just hurt.
doctor
Answered by Dr. Praveen Tayal (8 hours later)
Brief Answer:
Sweating can be due to a nerve related issue.

Detailed Answer:
Hello.
Thanks for writing again.
The excessive sweating can be due to a nerve related issue. taking Vitamin B12 supplements and electrolyte rich fluids should hep in reducing this. Climbing so many steps also does not help with your back pain and bone pain. Do add calcium supplements to your diet and get your Vitamin D3 levels evaluated.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Praveen Tayal (14 hours later)
I do take about 4,000 D3 e day. electrolytes may do me good. Other wise all else have been tested w blood work. As for now I have new issues. My shoe heel caught bottom step of our Deck while watering flowers yesterday. Seeing how urgent care is 30 miles any direction from home chose to make w Dr appt afternoon. First thing crossed my mind as I hit the patio bricks was ""did I hurt my back? But as I lay there I rememberd hearing my ankle pop,hoping it was a XXXXXXX moving the ankle is swelled, but i limp. My ribs are tender, I can move Left fingers but can't move wrist, and all muscles hurt from wrist up to my shoulder so may have pulled ligaments. I can not carry or lift anything with rt hand, but can use thumb and fingers to grasp handles. I am very frustrated @ this time. Took hydrocodone and tyelenol about 2:45 AM. Another 8:30 & using Ice pack. Have always been very active buy the last 4 years have been very hard to accept. Then after yesterdays miss hap I don't feel depressed very just angry that my body is falling apart.
doctor
Answered by Dr. Praveen Tayal (45 minutes later)
Brief Answer:
Can be due to a fracture.

Detailed Answer:
The swelling and pain in the wrist can be due to a minor fracture. This can be detected only after an X-ray. Avoid all painful movements. Continue with ice and pain killers. Please go for the appointment for proper examination.

Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12164 Questions

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Suggest treatment for chronic nerve pain and muscle spasms in legs

Brief Answer: Muscle relaxants and pregabalin can help. Detailed Answer: Hello, Thanks for posting your query. You are having multiple problems that are associated with pain and nerve compression. In addition to the pain killers and regular exercise you need muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain. You must also figure out a particular bed, preferably a coir-foam mattress, for resting and give it ample time to set in. It takes some time to do so and one should not expect immediate relief. Even the sleeping position matters, so avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. Epidural steroid injections and lumboscaral belt can be considered in case the pain is persistent. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal