[37F] Experiencing sharp hip and leg pain with bladder urgency

What might be happening

Based on the information you've provided, possible diagnoses include:

• Sciatica: This condition is caused by irritation or compression of the sciatic nerve, which originates in the lower back and runs down the back of each leg. The pain can be sharp and radiate down the leg, as you described. It can be caused by various conditions, including degenerative disc disease, which you have a history of.

  • Treatment typically involves physical therapy and pain management, such as over-the-counter pain relievers or prescription medications. In severe cases, surgery might be necessary.

• Lumbar radiculopathy: This is a condition where a nerve root in the lower back is compressed, causing pain and loss of sensation or muscle weakness in the legs. Your history of a fractured L1 and L2 vertebrae could potentially contribute to this condition.

  • Treatment often involves physical therapy, medication for pain relief, and in some cases, surgery.

• Urinary urgency: This is a sudden, compelling urge to urinate, which is difficult to delay. It can be caused by various conditions, including urinary tract infections, bladder disorders, or neurological conditions. Given your symptoms, it might be related to your back and leg pain, but it could also be a separate issue.

  • Treatment depends on the underlying cause. It might involve medication, bladder training techniques, or surgery in severe cases.

What you can do

You should seek medical attention to get a proper diagnosis and treatment. In the meantime, here are some things you can do:

1. Try to rest and avoid activities that worsen your pain.
2. Over-the-counter pain relievers might help manage your pain. However, you should consult a healthcare provider before starting any new medication.
3. Gentle stretching exercises might help relieve sciatic pain. However, you should stop any exercise that causes sharp pain.
4. Keep a bladder diary to track your urinary habits. This can help your healthcare provider diagnose any potential bladder problems.

What you should look out for

You should seek immediate medical attention if:

• Your pain becomes severe or unbearable.
• You experience loss of sensation or weakness in your legs.
• You lose control of your bowel or bladder.
• You experience unexplained weight loss or fever.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.