Hi, thanks for writing to HCM.
Presence of pain & pins and needles sensations in the leg are indicative of a nerve compression in the lumbar spine
by a protruding disc.
The conservative management of this condition includes -
- Absolute bed rest
of 24-48 hours
- Avoid excessive forward bending activities as it will worsen the disc protrusion
, if you want to bend forwards, you have to keep your hips and knees in some flexion.
- Use a lumbosacral back support to stabilize your spinal muscles
- Avoid lifting weights
- Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12
supplements may be helpful.
- Intermittent pelvic traction might be helpful to cause a regression of the protruded discs
is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months.
Hope this information is helpful. Good day