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Severe Back Pain, Difficulty In Sleeping, Severe Pain While Standing. Remedy?
hi i have severe back pain which runs down to my ankle,i had an exray plus m,r,i nothing showed up, i cant sleep at night ihave to walk with crutches go down stairs on my bottom i feel no pain when i am stooped almost to the ground when i stand up straight the pain is excrusiating and a pull from my right leg numb r big toe
Wed, 24 Jul 2013
Hi, thanks for writing to HCM.
All the symptoms in the description suggests that you have LUMBAR DISC DISEASE with RADICULOPATHY. This means that a lumbar intervertebral disc is causing compression or pressure over the exiting nerve root at that level causing typical sciatic pain and numbness which goes down the leg upto toes.
The initial management for this problem is always conservative by following means -
* avoid lifting heavy weights
* avoid forward bending activities
* Use a lumbosacral back support
* Intermittent pelvic traction
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants.
If the above measures fail to provide pain relief, then an EPIDURAL STEROID injection can be tried.
Hope this information is helpful. Good day
All the symptoms in the description suggests that you have LUMBAR DISC DISEASE with RADICULOPATHY. This means that a lumbar intervertebral disc is causing compression or pressure over the exiting nerve root at that level causing typical sciatic pain and numbness which goes down the leg upto toes.
The initial management for this problem is always conservative by following means -
* avoid lifting heavy weights
* avoid forward bending activities
* Use a lumbosacral back support
* Intermittent pelvic traction
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants.
If the above measures fail to provide pain relief, then an EPIDURAL STEROID injection can be tried.
Hope this information is helpful. Good day
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1 Doctor agrees with this answer
Hi,
Thanks for posting your query.
From description it seems you might be suffering from siatica. Sciatica refers to pain that radiates along the path of the sciatic nerve — which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body.
Although the pain associated with sciatica can be severe, most cases resolve with just conservative treatments in a few weeks.
MRI is needed to establish the cause of sciatica, so that appropriate treatment can be prescribed. Sciatica do respond well to bed rest and analgesics (pain killer) and is right mode of treatment.
The definitive treatment depends upon the cause of sciatica. I would suggest you to consult an orthopediac surgeon who may order MRI to determine cause of sciatica (level and degree in case of disc herniation) and may suggest other mode of treatment. After initial few days of bed rest, you needs physiotherapy (exercises).
Hope this will helps you. Feel free to ask me if you have any further queries.
Wish you good health. Take care.
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
Thanks for posting your query.
From description it seems you might be suffering from siatica. Sciatica refers to pain that radiates along the path of the sciatic nerve — which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body.
Although the pain associated with sciatica can be severe, most cases resolve with just conservative treatments in a few weeks.
MRI is needed to establish the cause of sciatica, so that appropriate treatment can be prescribed. Sciatica do respond well to bed rest and analgesics (pain killer) and is right mode of treatment.
The definitive treatment depends upon the cause of sciatica. I would suggest you to consult an orthopediac surgeon who may order MRI to determine cause of sciatica (level and degree in case of disc herniation) and may suggest other mode of treatment. After initial few days of bed rest, you needs physiotherapy (exercises).
Hope this will helps you. Feel free to ask me if you have any further queries.
Wish you good health. Take care.
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
I find this answer helpful
1 user finds this helpful
1 Doctor agrees with this answer
Hello,
All this symptoms point towards compression of spinal cord and the spinal nerves.
It may be due to spinal canal stenosis, intervertebral disc prolapse or degenerative vertebral bone disorders etc..
But you had mentioned that your MRI is not conclusive.
Better take a second opinion for an Orthopedician.
All this symptoms point towards compression of spinal cord and the spinal nerves.
It may be due to spinal canal stenosis, intervertebral disc prolapse or degenerative vertebral bone disorders etc..
But you had mentioned that your MRI is not conclusive.
Better take a second opinion for an Orthopedician.
I find this answer helpful
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