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

Patient Description

A 36-year-old female presents with low back pain radiating bilaterally, described as a 7 out of 10 in severity, worsening at the end of the day and after sitting for extended periods. Heat and sleep provide some relief. Additionally, the patient reports alternating leg pain, described as a tourniquet sensation at the hip joint with muscle spasms, and a burning sensation in the calves and feet. The leg pain is rated as a 6 out of 10 in severity. The patient also experiences 'ice pick' headaches and head pressure, which started 6 weeks ago and is rated as a 5 out of 10 in severity. The patient underwent a partial hysterectomy 6 weeks prior and has a history of central sensitization syndrome diagnosed 2 years ago and arthritis of the spine diagnosed 6 months ago. The patient is currently on low dose naltrexone 4.5 mg daily and reports no known drug allergies. No other medications are reported.

Show More

Arora's Assessment

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.

Show More

1
 Hugs
0
 Comments

Save

9 mo ago


People Also Ask


What are the common symptoms of sciatica and how is it treated?

Sciatica typically presents with pain that radiates from the lower back down the leg, often accompanied by numbness or tingling. It is usually treated with physical therapy, pain relievers, and sometimes surgery if severe.


How does spinal arthritis affect the body and what are the treatment options?

Spinal arthritis can cause chronic back pain, stiffness, and reduced mobility, especially after periods of inactivity. Treatment often includes physical therapy, pain management, and lifestyle changes like exercise and weight management.


What is central sensitization syndrome and how can it be managed?

Central sensitization syndrome is a condition where the nervous system becomes overly sensitive, leading to chronic pain. Management often involves physical therapy, cognitive behavioral therapy, and medications to help control pain.


What are potential causes of post-surgical pain after a hysterectomy?

Post-surgical pain after a hysterectomy can be due to nerve damage, scar tissue, or other complications. Treatment depends on the cause and may include pain management strategies or further medical interventions.

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback