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Persisting lower back pain, fatigue, numbness in the legs and twitching in the hands. Any advice?

i have had bad low back pain for years all the time. I m tired all the time my legs go numb at times along with hands. also cold weather effects pain mre espically rain and snow and notice my hands shake at times along with twitching. I m trying figure what s wrong my mri came back normal. this low back pain has me depressed all the time I m 34 yrs old. do you know what thia could be?
Asked On : Thu, 28 Mar 2013
Answers:  2 Views:  39
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Orthopaedic Surgeon 's  Response
My Dear :
Lowe back pain is a huge subject and it is more than that you are able to describe. The pain that you have experience needs more analysis special in your age . The pain in elderly due to a lot of reasons but in your age the limited and organic reasons has to be ruled out. Further questions needed to be answered like wither if there is any history of accident? how long this pain been there ? any history of fever , chills and weight loss ? Any history of professional sports ? Any injuries at all ?

Hands numbs goes along with back pain and cold weather, rain and snow make hands shake at times along with twitching .... This make the situation more interesting and required more information to role out rheumatological, vascular reasons. The back does not affect hand or vise versa. I think you need to some body ( rheumatologist) to get all of these questions answered. You might need simpler investigation than MRI, rheumatological blood work up to differentiate between the differential diagnosis ...

Answered: Fri, 29 Mar 2013
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Orthopaedic Surgeon Dr. Praveen Tayal's  Response
Thanks for writing to us.
The persistent low back pain with a normal MR scan could be related to a muscle stiffness or sprain. The symptoms of numbness and twitching are more likely to be associated with vitamin B 12 deficiency, thyroid imbalance or an electrolyte imbalance.
I hope this information has been both informative and helpful for you.
Dr. Praveen Tayal
Answered: Fri, 29 Mar 2013
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