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Suggest Treatment For Severe Leg Pain

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Posted on Mon, 20 Jun 2016
Question: My husband has had severe right leg pain for the past 5 weeks. Been to ER....x-rays were negative...Rx for pain meds and PT. PT did not help. Saw PCP, possible statin reaction although he's been taking these for years. Cannot walk, sleep, etc without severe pain, now uses a cane to help. No lower back pain associated with this. Any suggestions?
doctor
Answered by Dr. V. N. S. Parinam (1 hour later)
Brief Answer:
possible disc degeneration coupled with nerve compression

Detailed Answer:
Hi,

THere is a high possibility that the disc is degenerated completely, lost the turgor and ability to place the two vertebrae intact. As they lose the water in them the become dessicated and split. They prolapse frequently and compress the nerve that comes out of the spinal segment. One sided pains always need evaluation with MRI. Xray may be normal for that age but things are more clear on MRI.
I suggest to get an MRI and find the diagnosis first.
I am not sure if a treatment other than PT, pain medicine exists at this age even if a diagnosis is made. His fitness for surgery is a question.
However the next investigation to undergo a proper diagnosis is through a spine surgeon and MRI of the spine.
There are other possibilities including osteopenia, porosis of the bone, hidden fracture but first things are first
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. N. S. Parinam (8 hours later)
Thank you. This makes sense.
doctor
Answered by Dr. V. N. S. Parinam (9 hours later)
Brief Answer:
Please close and rate the answer

Detailed Answer:
I am glad you are convinced with the answer, please 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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1727 Questions

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Suggest Treatment For Severe Leg Pain

Brief Answer: possible disc degeneration coupled with nerve compression Detailed Answer: Hi, THere is a high possibility that the disc is degenerated completely, lost the turgor and ability to place the two vertebrae intact. As they lose the water in them the become dessicated and split. They prolapse frequently and compress the nerve that comes out of the spinal segment. One sided pains always need evaluation with MRI. Xray may be normal for that age but things are more clear on MRI. I suggest to get an MRI and find the diagnosis first. I am not sure if a treatment other than PT, pain medicine exists at this age even if a diagnosis is made. His fitness for surgery is a question. However the next investigation to undergo a proper diagnosis is through a spine surgeon and MRI of the spine. There are other possibilities including osteopenia, porosis of the bone, hidden fracture but first things are first