[31F] Experiencing severe back and leg pain with burning sensation in thigh

Patient Description

A 31-year-old female has been experiencing severe back and leg pain for the past two weeks. The patient describes the back pain as a shooting sensation on the right side that extends into the buttocks, which worsens with activities such as driving or crossing legs. Additionally, the patient reports a severe, generalized burning pain in the thigh that spreads down the leg, accompanied by muscle soreness, pain in the hip joint, and muscle twitching. The pain severity is rated 9 out of 10. The patient also mentions weakness in the leg and difficulty walking but no numbness, only burning and tingling sensations in the thigh. There is a history of scoliosis diagnosed at age 16 and a family history of neurological or musculoskeletal disorders. The patient is currently on daily doses of Seroquel (100mg), Propranolol (20mg), and Effexor (75mg), with no reported side effects from these medications.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be considered:

  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your feet, is irritated or compressed. It can cause pain, numbness, tingling, and weakness in the lower back, buttocks, legs, and feet. Your description of shooting pain from your back down into your buttocks, as well as the burning sensation in your thigh, could be indicative of this condition.

    • Treatment usually involves physical therapy, pain relief medication, and in some cases, surgery.
  • Meralgia Paresthetica: This is a condition characterized by tingling, numbness, and burning pain in the outer part of your thigh. It's caused by compression of the lateral femoral cutaneous nerve, which supplies sensation to your upper leg.

    • Treatment typically involves addressing the underlying cause of the nerve compression, such as weight loss or wearing looser clothing. Medications for pain relief or, in some cases, surgical intervention may be necessary.
  • Lumbar Radiculopathy: This condition occurs when a nerve in the lower back is compressed or irritated. It can cause similar symptoms to sciatica, but is usually associated with specific spinal levels.

    • Treatment can involve physical therapy, medications, and potentially surgery.

Please note that these are potential explanations for your symptoms based on the information provided, but they are not definitive diagnoses. It's important to consult with a healthcare professional who can evaluate your condition and provide appropriate treatment.

What you can do

  1. Over-the-counter pain relievers: Non-prescription medications such as ibuprofen or acetaminophen can help reduce pain.
  2. Physical therapy: Exercises and stretches can help improve your strength and flexibility, which can alleviate some of your symptoms.
  3. Heat or cold packs: These can help soothe stiff, sore muscles and reduce inflammation.
  4. Rest: Avoid activities that worsen your pain, but try not to stay in bed all day as this can make your symptoms worse.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe pain that doesn't improve with rest
  • Pain following a severe injury, such as a road traffic accident
  • Difficulty controlling your bowels or bladder
  • Numbness or tingling around your genitals or buttocks
  • Unexplained weight loss

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago

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People Also Ask


What is sciatica and what are its common symptoms?

Sciatica is a condition where the sciatic nerve, which runs from the lower back down to the feet, is irritated or compressed. Common symptoms include shooting pain from the lower back to the buttocks and legs, numbness, tingling, and weakness in the affected areas.


How is meralgia paresthetica different from sciatica?

Meralgia paresthetica is characterized by tingling, numbness, and burning pain in the outer part of the thigh, caused by compression of the lateral femoral cutaneous nerve. Unlike sciatica, it does not typically involve pain that extends down the entire leg or into the buttocks.


What are the typical treatments for lumbar radiculopathy?

Typical treatments for lumbar radiculopathy include physical therapy to improve strength and flexibility, medications for pain relief, and in some cases, surgical intervention to relieve nerve compression.


When should I seek immediate medical attention for back and leg pain?

You should seek immediate medical attention if you experience severe pain that doesn't improve with rest, pain following a severe injury, difficulty controlling your bowels or bladder, numbness or tingling around your genitals or buttocks, or unexplained weight loss.


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2 Comments


Leo#3962

9 mo ago

Ouch, sounds like something is pinching a nerve in your leg or the roots of nerves that supply the big sciatic nerve. Most commonly this is caused by injury or degenerative changes to the lumbar (lower) spine, but can also be caused by issues in your hip or leg. Given how painful it is, might be worth visiting a doctor so they can assess what the location of the problem is. If your problems are debilitating for an extended amount of time, injections or surgery might be recommended (of course it'll be your choice whether to get those)

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Anonymous#8035

9 mo ago

Thank you for the response, I sustained an injury to the hip years ago when I was young and have had problems ever since. It has just gotten increasingly bad the bas few weeks. I will make an appointment with my doctor

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