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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Sciatica, Difficulty Urinating, Clitoral Pain, Numbness In Legs. Treatment?

I m a 19 year old woman who just had a baby 3 months ago. I was diagnosed with chronic sciatica early in my pregnancy and it has gotten alot worse in the past few months. Now, i m having trouble urinating, clitoral pain, and numbness and tingling in my legs. I m not taking any medications for the pain. What could all of these things be caused by? How can I get help for it?
Sat, 8 Sep 2012
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  User's Response
Welcome to Healthcare Magic,
Your symptoms and signs are very suggestive for nerve root compression at L1- L5 levels. Possible your condition occurs while you was pregnant due to heavy weight on your lumbar vertebras ( taking in consideration your age), there can be also mild degenerative changes or disc protrusion that cause nerve compression and your symptoms. For definitely diagnosis you need MRI or Computer tomography and Neurosurgeon consultation. Practically you can try now non-steroidal anti-inflammatory drugs such a Ibuprofen, Naproxen, Acetaminophen , or analgesics such acetaminophen with codeine, or hydrocodone, plus local anti-inflammatory creams ( voltaren, icy hot, deep heat, finalgon , etc. ) plus hot packs, gentle massage, carry always lumbar belt ( as you see in some athletes in the gym ). Additionally once or twice a year physical therapy sessions and avoid any lifting , rapid movement in the trunk, jumping, etc. All these measures will help improve your condition.

I wish you good luck and speedy recovery,
Hope this helps and I have answered your query.


Best Regards,

Dr.Mihail
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Chronic Sciatica, Difficulty Urinating, Clitoral Pain, Numbness In Legs. Treatment?

Welcome to Healthcare Magic, Your symptoms and signs are very suggestive for nerve root compression at L1- L5 levels. Possible your condition occurs while you was pregnant due to heavy weight on your lumbar vertebras ( taking in consideration your age), there can be also mild degenerative changes or disc protrusion that cause nerve compression and your symptoms. For definitely diagnosis you need MRI or Computer tomography and Neurosurgeon consultation. Practically you can try now non-steroidal anti-inflammatory drugs such a Ibuprofen, Naproxen, Acetaminophen , or analgesics such acetaminophen with codeine, or hydrocodone, plus local anti-inflammatory creams ( voltaren, icy hot, deep heat, finalgon , etc. ) plus hot packs, gentle massage, carry always lumbar belt ( as you see in some athletes in the gym ). Additionally once or twice a year physical therapy sessions and avoid any lifting , rapid movement in the trunk, jumping, etc. All these measures will help improve your condition. I wish you good luck and speedy recovery, Hope this helps and I have answered your query. Best Regards, Dr.Mihail