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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Injured lower back. Severe pain around tail bone and legs, feel numb. Is it Sciatica?

Hi I recently had caused an injury in my lower back while lifting an object at work. The problem is the pain from this injury has gotten very bad especially around my tail bone in my pelvic area, as well as my buttock with the pain radiating down my right and left leg, which indicated to my doctor that I probably have sciatica . There is also a certain amount of numbness in both legs and it feels as though the numbness has spread to my groin and pelvic area these areas are numb feeling, but also very, very, painful. I cannot believe my pain level it feels like a constant 7 even with pain medication , and this pain radiates throughout my lower back and literally makes me feel physically ill from the pain. My doctor also tested my right leg for strength and noticed it was pretty weak in fact I am limping and even trying to walk with an even gait is excruciating and painful. My doctor suggests Radiculopathy , and I did have an MRI done but have to wait 2 more weeks to see my doctor. This is very frustrating, and I do not know how much more pain I can stand. Do you maybe know what I may be dealing with?
Thu, 17 Jan 2013
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Physical Therapist or Physiotherapist 's  Response
hi there..
As per your history it seems that there is nerve compression in your back but reason for compressed nerve cant be judged without physical examination. it can be disc herniation ,any local injury or trauma, muscular weakness and muscle spasm(involuntary muscle contraction in order to prevent any harm or injury to that muscle while doing any exhertional activity or any activity involving wrong postures like stooping or bending).In my opinion,to get relief from pain or compressed nerve following line of treatment should be done :
To get pain relief -muscle relaxants and anti inflammatory drugs are a good option
Along with that physical therapy should be done as your problem is mechanical and root cause should be treated.
For that proper physiotherapy sessions should be followed to get pain relief and restore your normal day to day activities.
To relieve pain you may have manual therapy session(techniques performed by trained manual therapists to release the compressed nerve and hence giving pain relief ),Moist heat fomentation , TENS ,Ultrasonic therapy and yes the most important is REST and following correct postures while getting up and lying down in bed and other daily living activities,,
After your pain is relieved you should go for strengthening exercises,streching exercises and core muscle strengthening to prevent such injuries in future.(without follow up of exercises problem can recur any moment)so keep yourself active with good postures and good strength.

certain precautions for now
dont lie straight on bed, either lie on your side with a pilllow between your legs or lie on your stomach with a pillow under your feet.. if you wanna lie down straight please maintain a pillow under your head and one under your knees. follow the postures whichever is comfortable for you.
Hope you will find the post helpful..
take care and get well soon

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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for writing to us.

I understand you have back pain . These symptoms are part of PIVD where the nerves get compressed by the protruded disc..
There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.
If you dont get better with these treatment , surgery is the option, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms

Wishing you good health...
Regards.
Dr Saurabh Gupta
Orthopaedic surgeon
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