[36F] Experiencing back and leg pain with neurological symptoms post-hysterectomy

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• 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, and tingling in the lower back, hips, and legs. The fact that your pain radiates from your lower back into your legs and is worse after sitting for prolonged periods is suggestive of this condition.

  • Treatment typically involves physical therapy, pain relievers, and in some cases, surgery.

• Spinal Arthritis: You mentioned a previous diagnosis of spinal arthritis. This condition can cause back pain, especially after periods of inactivity or excessive activity.

  • Treatment usually involves physical therapy, pain relievers, and lifestyle modifications such as weight loss and exercise.

• Central Sensitization Syndrome: This is a condition where the nervous system is in a persistent state of high reactivity, leading to chronic pain. Your previous diagnosis and the widespread nature of your pain could suggest this condition is contributing to your symptoms.

  • Treatment often involves a combination of physical therapy, cognitive behavioral therapy, and medications to manage pain.

• Post-Surgical Pain: You mentioned having a partial hysterectomy 6 weeks ago. Sometimes, surgical procedures can cause lingering pain due to nerve damage, scar tissue, or other complications.

  • Treatment would depend on the underlying cause and could involve pain management strategies or additional medical procedures.

What you can do

While you should definitely consult with a healthcare professional for a formal diagnosis and treatment plan, here are some things you can do in the meantime:

1. Try to maintain good posture, especially when sitting for long periods.
2. Engage in regular, low-impact exercise such as walking or swimming.
3. Apply heat to your lower back to help relieve pain.
4. Over-the-counter pain relievers may help, but always use them as directed and consult with a healthcare professional if you're unsure.
5. Rest and avoid activities that worsen your pain.

What you should look out for

Please seek immediate medical attention if you experience:

• Sudden, severe pain in your lower back or leg, along with muscle weakness or difficulty moving your leg.
• Loss of bladder or bowel control.
• Numbness or tingling in your groin or inner thighs.

Please remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.