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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Lower Backache And Sacral Pain Be Treated While Experiencing Numbness In The Extremities?

I have chronic lower back and saccryl pain. my hands and feet go numb and tingle quickly. at times my fingers or hand will jerk or tremor, my eye sight blurs and I am always tired. the longer I sleep, the more I want to sleep. my balance is off, I stumble, and I have difficulty walking when I first wake up. my hands and legs and arms and sometimes my abdomen is swollen when I first wake up. I have psoriatic arthritis, but the tx isn t helping, I am seeming to only get worse....HELP PLEASE
Fri, 28 Sep 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

It looks like your nerves are affected due to psoriatic arthritis. It looks like spondyloarthritis is affecting mainly your pelvis, hence you are getting pain in the sacrococcygeal region. Take Acetaminophen (Tylenol), NSAIDS, Ibuprofen for relieve. Visit ER and get blood tests done to see the RA factor and advancement of arthritis. You may need a surgical intervention. To help alleviate pain and to reduce inflammation, you may need injections, eg., Lidocaine local anesthetic along with some anti inflammatory medication.
Pain, numbness, tingling sensation is because of nerve damage, see a neurologist and get all investigations done. You need medications. Take care.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Nupur K.
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How Can Chronic Lower Backache And Sacral Pain Be Treated While Experiencing Numbness In The Extremities?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It looks like your nerves are affected due to psoriatic arthritis. It looks like spondyloarthritis is affecting mainly your pelvis, hence you are getting pain in the sacrococcygeal region. Take Acetaminophen (Tylenol), NSAIDS, Ibuprofen for relieve. Visit ER and get blood tests done to see the RA factor and advancement of arthritis. You may need a surgical intervention. To help alleviate pain and to reduce inflammation, you may need injections, eg., Lidocaine local anesthetic along with some anti inflammatory medication. Pain, numbness, tingling sensation is because of nerve damage, see a neurologist and get all investigations done. You need medications. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K.