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Have tingling down leg, foot while sitting, trouble walking, back pain. Reason and cure?

Hi, I have tingling down my leg and into my foot and when I sit. I have trouble walking for a few minutes especially after driving for about 30 minutes. There is pain in the back of my ankle when I get out of the car. My lips and finger also tingle occasionally. My Mom had MS. I did have a MRI 5 years ago and it did not show any lesions. Thanks,. Carolyn
Asked On : Fri, 11 Oct 2013
Answers:  1 Views:  9
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

Multiple sclerosis is unlikely in your case as you don't have other common symptoms of MS which include visual disturbances, Gait abnormalities etc. If you are still in doubt, get an MRI of the brain which will rule out the presence of MS.

I suspect that the cause of your tingling in leg going down into the foot could be due a pinched nerve in the lumbar spine by a protruded intervertebral disc. An MRI scan of the lumbar spine will confirm the diagnosis.

The conservative management of your condition is as follows -

- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Avoid excessive forward bending activities as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Physiotherapy is needed to strengthen your back muscles.
- Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful.

I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management.

Hope this information is helpful. Good day
Answered: Tue, 22 Oct 2013
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