[33F] With chronic lower back pain and radiating leg pain

What might be happening

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

• Herniated Disc: A herniated disc occurs when the soft material inside a spinal disc pushes out through a tear in the tougher exterior. This can compress nearby nerves, causing back pain, leg pain, numbness, and tingling. The pain can be severe and may worsen with movement.

  • Treatment: Treatment options include physical therapy, medications like anti-inflammatories and muscle relaxants, and in some cases, surgery. Imaging tests like an MRI are often used to confirm the diagnosis.

• Sciatica: Sciatica is a condition where the sciatic nerve, which runs from your lower back down your legs, becomes irritated or compressed. This can cause shooting pain down the legs, numbness, and tingling.

  • Treatment: Treatment typically involves physical therapy, medications, and sometimes steroid injections. In severe cases, surgery may be necessary.

• Spinal Stenosis: Spinal stenosis is the narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. This can cause back pain, leg pain, numbness, and tingling.

  • Treatment: Treatment options include physical therapy, medications, and in some cases, surgery. Imaging tests like an MRI or CT scan are often used to diagnose spinal stenosis.

• Muscle Strain: Chronic muscle strain can cause persistent back pain and muscle spasms. This can be due to poor posture, repetitive movements, or heavy lifting.

  • Treatment: Treatment typically involves rest, physical therapy, and medications like anti-inflammatories and muscle relaxants.

What you can do

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

1. Physical Therapy: Consider seeing a physical therapist who can guide you through exercises to strengthen your back and improve your posture.
2. Pain Management: Continue using over-the-counter pain relievers like Naproxen as needed, but consult your doctor for long-term pain management options.
3. Heat and Cold Therapy: Applying heat or cold packs to your back can help reduce pain and inflammation.
4. Stay Active: Gentle activities like walking or swimming can help keep your back muscles strong and flexible.
5. Posture: Pay attention to your posture, especially while sitting or working. Ergonomic chairs and proper workstation setup can help.
6. Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Pain: If your pain becomes unbearable or significantly worsens.
• Loss of Bowel or Bladder 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 feet.
• Unexplained Weight Loss: If you experience unintended weight loss along with your symptoms.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.