[31F] With chronic lower left back pain and associated numbness

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your legs, is compressed or irritated. This can cause sharp, pinching pain in the lower back, numbness, and a burning or icy sensation in the thigh and hip. Leaning to one side to relieve pain is also common.

  • Treatment: Treatment often includes physical therapy, pain relief medications, and sometimes corticosteroid injections. In severe cases, surgery may be necessary.

• Herniated Disc: A herniated disc in the lower spine can press on nearby nerves, causing sharp pain, numbness, and weakness in the legs. This can also lead to compensatory leaning to one side to alleviate discomfort.

  • Treatment: Treatment may involve physical therapy, anti-inflammatory medications, and sometimes surgical intervention if conservative treatments fail.

• Lumbar Spinal Stenosis: This condition involves the narrowing of the spinal canal in the lower back, which can compress nerves and cause pain, numbness, and weakness in the legs.

  • Treatment: Treatment options include physical therapy, medications, and possibly surgery to relieve pressure on the nerves.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Physical Therapy: Engaging in physical therapy exercises can help strengthen the muscles around your spine and improve your posture, which may alleviate some of the pain.
2. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation. Always follow the dosage instructions on the label.
3. Heat and Cold Therapy: Applying a heating pad or ice pack to the affected area can help reduce pain and inflammation.
4. Posture Correction: Try to maintain good posture while sitting, standing, and walking. Using ergonomic chairs and supportive footwear can also help.
5. Activity Modification: Avoid activities that exacerbate your pain, such as prolonged standing or walking. Take frequent breaks to sit and rest.
6. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share longitudinal medical notes with your healthcare provider. This can help in identifying patterns and triggers for your pain.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe Pain: If your pain becomes unbearable or significantly worsens.
• Loss of Bladder or Bowel Control: This could indicate a serious condition called cauda equina syndrome, which requires immediate medical attention.
• Progressive Weakness: If you notice increasing weakness in your legs or difficulty walking.
• Fever or Unexplained Weight Loss: These could be signs of an underlying infection or other serious condition.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment plan.