[39F] With severe lower back pain and burning sensation in leg

What might be happening

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

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back through your hips and buttocks and down each leg, is compressed or irritated. It can cause sharp lower back pain and a burning sensation that radiates to the buttocks and down the leg.

  • Treatment: Sciatica is often treated with physical therapy, pain relief medications, and sometimes steroid injections. In severe cases, surgery may be necessary.

• Herniated Disc: A herniated disc in the lower spine can press on nearby nerves, causing sharp pain in the lower back and a burning sensation that radiates to the buttocks and legs.

  • Treatment: Treatment options include physical therapy, pain medications, and sometimes surgery if conservative treatments do not provide relief.

• Spinal Stenosis: This condition involves the narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. It can cause lower back pain and a burning sensation in the legs.

  • Treatment: Treatment may include physical therapy, medications, and possibly surgery to relieve the pressure on the nerves.

• Multiple Sclerosis (MS) Related Pain: Although you mentioned no recent flare-ups, MS can sometimes cause nerve pain that might present as a burning sensation or sharp pain in various parts of the body, including the lower back and legs.

  • Treatment: Managing MS-related pain often involves medications, physical therapy, and sometimes alternative therapies like acupuncture.

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. Stay Active: Gentle exercises like walking or swimming can help keep your back muscles strong and flexible. Avoid activities that worsen your pain.
2. Apply Heat or Cold: Using a heating pad or ice pack on your lower back may help reduce pain and inflammation.
3. Practice Good Posture: Ensure that you maintain good posture, especially when sitting or standing for long periods. Consider using a lumbar support cushion.
4. Over-the-Counter Pain Relief: While ibuprofen hasn't been effective for you, you might try other over-the-counter pain relievers like acetaminophen. Always follow the dosage instructions.
5. Physical Therapy: A physical therapist can teach you exercises to strengthen your back and improve your posture.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe or worsening 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.
• Weakness or numbness: If you develop weakness or numbness in your legs or feet.
• Unexplained weight loss: If you start losing weight without trying.

Remember, while this information can help you understand your symptoms better, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.