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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can pain in the lower back and legs be treated?

My mom is 67 and typically in great shape. 3 weeks ago her lower back started hurting. It’s increasingly gotten worse with the pain moving down into her bottom, back of her legs and now into the front of her legs and knees. MRI and CT scan at the ED this weekend were both negative. Doctors said she was very constipated and most likely had pulled muscles in her back. They prescribed rest, pain meds, muscle relaxers and PT. She felt better after the first day, but has been in more pain the past few days and is having difficulty walking. This seems like more than constipation and strained/pulled muscles to me and I’m worried she’s getting worse and not better. Any advice would be much appreciated. Thank you
Mon, 16 Apr 2018
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General & Family Physician 's  Response

After going through your case history, I would suggest few more tests for your mother which are:
1. Vitamin D3 analysis
2. PPBS (Postprandial blood sugar) and FBS (Fasting blood sugar) tests
3. Blood Pressure (BP) checkup

Because the most common reason for such pain is disc prolapse which has been already ruled out in your case as MRI and CT scan are negative.

So, now it can be some neuropathic pain which can arise due to either diabetes or hypertension or due to Vitamin D3 deficiency.

And if I would have been your treating physician then i would have started some neurogenic pain revealing medicine like Neurobion Forte along with the other medicines.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Medhavi Agarwal
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