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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue With Lower Back And Leg Pain?

I am extremely tired, 63 year old female. Have gained 10 pounds in the past year. Recently, Ive had sharp shooting pain from my lower back (hip area) down the back of my legs. It has woken me up at night. I constantly have a dull aching pain across my buttocks. Cause?
Mon, 18 Jul 2016
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Orthopaedic Surgeon 's  Response
Hi
Hope this message finds you in good health.
I have gone through your complaints and understand your concern.
I generally see many cases like this at my clinic.I give them a splint,rest,analgesics,anti-inflammatory tablets and ice pack till the swelling reduces to some extent. Then i get an xray and if necessary an mri done to find out the extent of injury.

In your case,there are 3 possibilities-

POSSIBILITY 1. nerve inflammation- there may be no bony involvement,only the soft tissues around the back might have been strained.

POSSIBILITY 2. muscle cramps- due to weight gain your legs have been put under extra stress that may cause muscles to cramp and cause continuois pain

POSSIBILITY 3. lumbar disc prolapse-U seem to have compressed a nerve in the back somewhere that might be causing radiating pain in those regions.Possibility of a lumbar disc prolapse should be kept in mind.
I suggest you get an Xray as well as an MRI to find out the exact cause.
Physiotherapy,analgesics,anti-inflammatory drugs should help.
Avoid surgery as far as possible.


But i assure one thing, even if it is either of the above 3,all have a good prognosis and you should eventually get back to normal in coming few days.Nothing to worry about.Do get back to me after ur mri reports are ready.     
I hope your question has been answered.
If you have any follow-up queries,feel free to consult me anytime.
Thanks,Take care,God bless.
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What Causes Fatigue With Lower Back And Leg Pain?

Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. I generally see many cases like this at my clinic.I give them a splint,rest,analgesics,anti-inflammatory tablets and ice pack till the swelling reduces to some extent. Then i get an xray and if necessary an mri done to find out the extent of injury. In your case,there are 3 possibilities- POSSIBILITY 1. nerve inflammation- there may be no bony involvement,only the soft tissues around the back might have been strained. POSSIBILITY 2. muscle cramps- due to weight gain your legs have been put under extra stress that may cause muscles to cramp and cause continuois pain POSSIBILITY 3. lumbar disc prolapse-U seem to have compressed a nerve in the back somewhere that might be causing radiating pain in those regions.Possibility of a lumbar disc prolapse should be kept in mind. I suggest you get an Xray as well as an MRI to find out the exact cause. Physiotherapy,analgesics,anti-inflammatory drugs should help. Avoid surgery as far as possible. But i assure one thing, even if it is either of the above 3,all have a good prognosis and you should eventually get back to normal in coming few days.Nothing to worry about.Do get back to me after ur mri reports are ready. I hope your question has been answered. If you have any follow-up queries,feel free to consult me anytime. Thanks,Take care,God bless.