Brief Answer:
perioheral neuropathy?
Detailed Answer:
Hi XXXXXXX
Thank you so much for this query.
I am so sorry to hear about about this pain and the inconveniences this has caused you. From the description of symptoms, I seem concerned that this pain is originating from the
nerve roots as they exit the lower back. This may explain why leaning forward further exerts pressure on the opening and make symptoms worse.
The nature of the pain makes it typical of
peripheral neuropathy. The difficulty is that I cannot tell with precision exactly where this nerve is being excited to produce these symptoms but probably you would need to be managed for this.
Have these exams involved the lower part of the back? Also, do you have any tests to investigate for
diabetes and other possible cause of peripheral neuropathy like alcohol, vitamin deficiencies, etc? If these have not been checked out, please consider raising these points with your doctor. If you have not been consulted by a
neurologist, try and see one.
If the suspicion is confirmed, then you would need medications. No single medication works well for all but a trial of pain medications, anti seizures, antidepressants,
lidocaine patch,
capsaicin, etc often identifies something that helps relieves symptoms.
I hope you find this helpful and it addresses your query fully. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health.
Dr. Ditah, MD