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What causes severe pain in the lower left back and leg?

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Posted on Thu, 20 Oct 2016
Question: Since 02/2016 I have had severe pain in my lower left back and down that leg. The Hospitals said that my MRIs show possible pinched nerve at the L5/4 all they will do is give me different pain medicine but that does not cure the problem. What can I do? also, I now have worse pain right before I pee or have a bowel movement,
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Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Read below

Detailed Answer:
I read your question carefully and I understand your concern.

From a diagnostic point of view the MRI is the best diagnostic test to determine the diagnosis, so since it has confirmed a pinched nerve that should be the cause.

First step in management is always physical therapy and pain killers. Pain killers are anti-inflammatory medication used over the counter like Ibuprofen or medication for chronic neuropathic pain like Gabapentin, pregabalin or amitriptylin.

If those do not work and the pain persists then the next step are local injections of steroids and analgesics.

When those do not work either then I am afraid the last resort is surgery to remove the source of the pinching (usually a bulging disc or bony spur due to arthritis).

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3669 Questions

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What causes severe pain in the lower left back and leg?

Brief Answer: Read below Detailed Answer: I read your question carefully and I understand your concern. From a diagnostic point of view the MRI is the best diagnostic test to determine the diagnosis, so since it has confirmed a pinched nerve that should be the cause. First step in management is always physical therapy and pain killers. Pain killers are anti-inflammatory medication used over the counter like Ibuprofen or medication for chronic neuropathic pain like Gabapentin, pregabalin or amitriptylin. If those do not work and the pain persists then the next step are local injections of steroids and analgesics. When those do not work either then I am afraid the last resort is surgery to remove the source of the pinching (usually a bulging disc or bony spur due to arthritis). I remain at your disposal for other questions.