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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have thin L5 and L4 discs, pain in lower back and legs, tired, unable to sleep

Hi, I have been told by my chiropractor that my L5 and L4 discs are paper thin. I am up all night in pain.My legs kill me as does my lower back.. I get up at night and walk around the house and it brings relief. But if I walk to far my legs hurt badly ..I am so tired from not sleeping due to such severe leg pain and lower back pain at night
Tue, 17 Sep 2013
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Spine Surgeon 's  Response
Hi
Thank you for your question to HCM.

Commonest spine related reason for back and leg pain is degenerative changes in the spine which lead to compression of the nerves. Pain of degenerative spine is related more to activity and is called mechanical pain. Muscle spasms during sleep are not uncommon in degenerative spinal conditions however when pain increases at night during sleep other cause of back pain like inflammatory disorders and tumors need to be ruled out.

For your symptoms I would suggest complete neurological evaluation by a physician and MRI of the lumbar spine which will show the cause of pain clearly.

Treatment for degenerative back pain is

1 Analgesic medications like ibuprofen, meloxicam, tramadol etc
2 Nerve pain specific medications like pregabalin or gabapentin
3 Muscle relaxants like tizanidine
4 Local heat
5 Back brace

Hope this is helpful. I would be happy to answer any questions you may have.


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Have thin L5 and L4 discs, pain in lower back and legs, tired, unable to sleep

Hi Thank you for your question to HCM. Commonest spine related reason for back and leg pain is degenerative changes in the spine which lead to compression of the nerves. Pain of degenerative spine is related more to activity and is called mechanical pain. Muscle spasms during sleep are not uncommon in degenerative spinal conditions however when pain increases at night during sleep other cause of back pain like inflammatory disorders and tumors need to be ruled out. For your symptoms I would suggest complete neurological evaluation by a physician and MRI of the lumbar spine which will show the cause of pain clearly. Treatment for degenerative back pain is 1 Analgesic medications like ibuprofen, meloxicam, tramadol etc 2 Nerve pain specific medications like pregabalin or gabapentin 3 Muscle relaxants like tizanidine 4 Local heat 5 Back brace Hope this is helpful. I would be happy to answer any questions you may have.