[37F] Experiencing severe knee and back pain with leg weakness

Patient Description

A 37-year-old female presents with severe knee pain that is sharp, dull, tingling, and sometimes numb, rating it a 7-8 on the pain scale. The pain, which has been worsening over the past 10 days, radiates from the knee up to the hip and is most severe when taking steps. The patient also reports a sharp, dull, and throbbing pain in the inner thigh down to the knee, mostly in the groin area. Additionally, she experiences lower back pain, described as achy and dull, which began abruptly and was initially severe enough to restrict movement. The back pain is exacerbated during sleep. The patient has a history of constipation since childhood, with recent bowel movements varying in consistency. She has a medical history of irregular heart rhythm, acid reflux, and was born with a heart murmur. She is allergic to penicillin and takes over-the-counter pain medications as needed. No prescribed medications are currently being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, several 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 your back, hip, and leg. The pain can be severe and can make it difficult to walk.

    • Treatment often involves physical therapy, pain relievers, and sometimes surgery.
  • Lumbar radiculopathy: This is a disorder of the spinal nerve roots and can cause similar symptoms to sciatica. It's often caused by a herniated disc in the lower back.

    • Treatment typically involves physical therapy and medication, although surgery may be necessary in severe cases.
  • Lumbar spinal stenosis: This condition occurs when the spinal canal in your lower back narrows, putting pressure on your nerves. This can cause back pain and numbness or weakness in one or both legs.

    • Treatment can include physical therapy, medication, and possibly surgery.
  • Chronic constipation: This can cause abdominal pain and bloating, and can sometimes affect your bladder control. It's often caused by a diet low in fiber, lack of physical activity, or certain medications.

    • Treatment typically involves changes to your diet and lifestyle, although medication may be necessary in some cases.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

While waiting for your appointment with a healthcare professional, here are some things you can do to help manage your symptoms:

  1. Try to stay as active as possible, but avoid activities that worsen your pain.
  2. Apply a hot or cold pack to your back and knee for 15-20 minutes at a time to help relieve pain.
  3. Over-the-counter pain relievers, such as ibuprofen, can help manage your pain. However, they should be used sparingly and only as directed.
  4. Increase your fiber intake and drink plenty of water to help manage your constipation.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe pain that doesn't improve with rest or over-the-counter pain relievers
  • Loss of bladder or bowel control
  • Weakness or numbness in both legs
  • Unexplained weight loss

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

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11 mo ago

People Also Ask


What is sciatica and how is it treated?

Sciatica is a condition where the sciatic nerve, which runs from the lower back down to the feet, is irritated or compressed. It can cause pain, numbness, and tingling in the back, hip, and leg. Treatment often involves physical therapy, pain relievers, and sometimes surgery.


What are the symptoms and treatment options for lumbar radiculopathy?

Lumbar radiculopathy is a disorder of the spinal nerve roots, often caused by a herniated disc in the lower back. It can cause symptoms similar to sciatica, such as pain, numbness, and tingling. Treatment typically involves physical therapy and medication, although surgery may be necessary in severe cases.


How can chronic constipation affect other parts of the body?

Chronic constipation can cause abdominal pain and bloating, and in some cases, it can affect bladder control. It is often caused by a diet low in fiber, lack of physical activity, or certain medications. Treatment usually involves dietary and lifestyle changes, and sometimes medication.


What are the warning signs that require immediate medical attention for back and leg pain?

Warning signs that require immediate medical attention include severe pain that doesn't improve with rest or over-the-counter pain relievers, loss of bladder or bowel control, weakness or numbness in both legs, and unexplained weight loss.


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