Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

171 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes pain in lower back radiating to legs and difficulty in walking?

Answered by
Dr.
Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1305 Questions

default
Posted on Thu, 10 Sep 2015 in Back Pain
Question: CR Lumbar spine with flexion and extension c/o low back pain radiating down both legs

There are small osteophytes throughout spine more pronounced at L1-2. Facet sclerosis from L4 through S1. Disc space narrowing slightly increased with flexion particularly at L5-S1 and L3-L4. Mild multilevel disc space narrowing in neutral position.

From what I take from this - that is exactly why I can't walk more than 30 steps before I am in severe pain. Am I right. Do I need to push to have someone stop ignoring with me and get me help. This has been going on since May 18. It started with my Right S/I joint causing the pain in my hip, down into my leg. At some point that has stopped and this is the problem. Now the least little movement, either one of my S/I joints will scream at me. Help please understand what these test are saying so I can get some much needed help
doctor
Answered by Dr. Muhammad Ali Rauf 2 hours later
Brief Answer:
Please see description

Detailed Answer:
Hello

Thank You for contacting HCM. My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. the symptoms you mentioned are suggestive of "degenerative disk disease(DDD)". In most cases, degenerative disc disease can be successfully treated with conservative (meaning non-surgical) care consisting of medication to control inflammation and pain (steroid medications delivered either orally or through an epidural injections), and physical therapy and exercise.
Following general measures will help you in reducing the severity:

1. Activity Modification

The first line of treatment is usually to avoid aggravating the condition. Modifying activities to preclude lifting of heavy objects and playing sports that require rotating the back (e.g. basketball, or football) can be a good first step.

2. Exercise and Physical Therapy
An exercise program is essential to relieving the pain of lumbar degenerative disc disease and is part of almost every treatment program for lumbar DDD. A back strengthening exercise program, such as Dynamic Lumbar Stabilization exercises, where patients are taught to find their 'natural spine,' the position in which they feel most comfortable, and to maintain that position

3. Heat and Ice
Applying heat to stiff muscles or joints to increase flexibility and range of motion, or using ice packs to cool down sore muscles or numb the area where painful flares are concentrated

4. Medications:
naproxen thrice a day help many patients feel good enough to engage in regular activities.

I would suggest you to once get an appointment for a physiotherapist. He will guide you the modifications that will help you in reducing the pain.

Surgery is only considered when patients have not achieved relief over six months of nonsurgical care and/or are significantly constrained in performing everyday activities.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  
Medical Topics

Recent questions on  Sclerosis

doctor1 MD

Hello. I've been having trouble keeping my eyes open and focused. I had a sinus infection which was treated but this has been happening before that. I keep yawning and feel as if I don't have enough oxygen and my face feels tight and constricted.

doctor1 MD

numbness start in hand all way feet

doctor1 MD

I had an MRI done yesterday to rule out a neurological cause for persistent dysphagia, and my GP called with the results. The MRI found a 3mm nonspecific heterogeneous t2 signal in the pons. The report recommends a follow up MRI with contrast in...

doctor1 MD

Hi My Wife age 22 had kidney biopsy last week and the report claims 40% kidney damage it says "12 glomeruli out of which 5 are obsolescent. Impression: Native -focal segmental glomerulosclerosis, collapsing variant" . She is experiencing serious back pain and Doc (neprologist) started with tablets - Wyosolone and shelcall for this week and said will start with STEROIDS from next week. She often gets BP above normal and terminated pregnancy last month due to the above reason. Pls advise if this is totally curable and also advise if she can concieve a healthy baby in the future.

doctor1 MD

I have suffering with progressive systemic sclerosis, mainly I am unable to bear joint pains. now my age is 24 years, how many years i will alive? please help me out from this disease. why no one giving any solution for this disease?. please give me some suggestions for edge of my death life.

doctor1 MD

I recently had a liver enzyme test and the numbers were elevated. I had what I thought was the flu; vomiting etc. and close to 2 weeks when I wasnt better I went to see a physician and they ordered blood work finding the elevated enzymes. I RARELY drink alcohol and hadnt had any for at least a month or more before I was ill. They followed up with Hepatitis test, all were normal and negative for A-C. I did have the test re-ordered a week later and my levels are now within normal limits. Can the flu cause elevated liver enzymes? What would cause these numbers to fluctuate? I have Scleroderma (systemic sclerosis) and Im wondering if I should contact my rheumatologist about the one time elevated enzymes?

doctor1 MD

Hi Dr. Keerthi, I have a mild case of Tuberous Sclerosis which was diagnosed when I was 19 years old when my eye doctor found lesions behind my eyes and did not know what they were. I was diagnosed at the Unversity of Minnesota. Although it has not impeded me mentally/socially/ect. I am wondering if Kyphosis/Scheudermann s Kyphosis/ is caused by asymmetric weakness in the muscles, vertebrae of the back due to the Tuberous Sclerosis. I should mention that I do have a severe case of Kyphosis and am trying to understand if it stems from the Tuberous Sclerosis during my development. Can you help me with this?