What causes pain in the back and leg radiating to the foot?
Take treatment as advised
I have gone through your question and understand your concerns.
Back pain with radiation to left lower limb is due to compression and irritation of nerve root.
The management includes precautions like avoiding stooping forward, lifting heavy objects, squatting position.
Regular physiotherapy under guidance of a physiotherapist will help in strengthening back muscles.
Pain killers with muscle relaxant like etoricoxib or Aceclofenac with thiocholchicoside or tizanidine can be taken for relief.
Pain modulator medication like pregabalin or amitryptiline or gabapentin can be used for pain relief.
Unresponsive cases or with motor deficit require surgical intervention.
Nerve block and steroid may give some transient benefit.
Visit a neurologist or neurosurgeon for evaluation and guidance.
Hope you found the answer helpful.
Do get back to me for further queries.
Dr N Kumar
Also i am currently taking Lyrica and codapaine forte, which does take the edge off the pain, my condition is entering its 3rd month now with little relief from injections or PT, i have visited a neurosurgeon but he is currently away on holidays and didn't provide any feedback on the mri before he left.
Given the time frame and the lack of improvement with conservative treatment would surgical intervention be reasonable ?
Wait for surgery
Facet arthrosis, end plate changes and disc prolapse are all related.
The treatment should be continued and dose of lyrica may be increased if needed.
If response to medications and physiotherapy is not adequate, severe pain persists even after 3 months or some motor weakness or urinary complains occurs then surgical intervention may be required.
At present you can wait for a month with focus on physiotherapy and precautions.
Wishing you good health and early recovery.
Dr N Kumar
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