[40F] With chronic right leg weakness and hip pain

Patient Description

A 40-year-old female presents with chronic weakness in the right leg, persisting for about a year. The weakness occurs every 2-3 months, lasting for one to two months per episode, and is alleviated by rest. It significantly impacts daily activities, causing limping when walking. The patient also reports aching lower back pain on the right side, which can become sharp at night, especially when rolling over. The pain worsens with standing for long periods and when lying on the right hip, making it difficult to sleep on that side. There is no history of injuries or surgeries related to the back, hip, or leg, but there is a family history of degenerative disc disease in the patient's mother. Occasionally, the patient experiences numbness or tingling in the right leg or foot. The patient's medical history includes obesity, asthma, and high blood pressure, diagnosed in 2012. Current medications include Valsartan, bisoprolol, and amlodipine for high blood pressure, and Adderall for ADHD. No known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, there are a few possible explanations for what you are experiencing:

  1. Sciatica or Lumbar Radiculopathy: The combination of right leg weakness, back pain, and occasional numbness or tingling suggests that there might be nerve compression or irritation in your lower back. This could be due to a herniated disc or degenerative changes in the spine, which is consistent with your family history of degenerative disc disease. Typical treatments include physical therapy, pain management, and sometimes imaging tests like an MRI to confirm the diagnosis.

  2. Hip Osteoarthritis or Bursitis: The hip pain that worsens at night and affects your ability to sleep on your right side could be due to inflammation or wear and tear in the hip joint. Osteoarthritis or bursitis are common conditions that can cause these symptoms. Treatment often involves pain relief, physical therapy, and lifestyle modifications.

What you can do

Right Leg Weakness and Back Pain:

  • Consider seeing a healthcare provider for a thorough evaluation. They may recommend imaging tests like an MRI to assess for nerve compression.
  • Engage in gentle stretching and strengthening exercises for your back and legs, as recommended by a physical therapist.
  • Maintain good posture and avoid prolonged sitting or standing in one position.

Hip Pain:

  • Apply ice or heat to the affected area to help reduce pain and inflammation.
  • Consider over-the-counter pain relief, such as ibuprofen or acetaminophen, but consult your doctor first, especially given your other medications.
  • Avoid activities that exacerbate the pain, and try to sleep in a position that is more comfortable.

General Health:

  • Keep track of your symptoms using MDandMe to journal your experiences, track progress, and share insights with your healthcare provider.
  • Maintain a healthy weight and engage in regular physical activity to help manage your obesity and high blood pressure.

What you should look out for

  • If you experience worsening weakness, numbness, or tingling in your leg, or if you develop new symptoms like bowel or bladder dysfunction, seek medical attention promptly.
  • Monitor your pain levels and any changes in your ability to perform daily activities. If your symptoms significantly impact your quality of life, consult a healthcare provider for further evaluation and management.

Remember, while this information can be helpful, it is important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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3 mo ago

People Also Ask


What are the common causes of leg weakness and back pain?

Common causes of leg weakness and back pain include nerve compression or irritation, such as sciatica or lumbar radiculopathy, herniated discs, degenerative disc disease, and conditions like osteoarthritis or bursitis.


How can sciatica or lumbar radiculopathy be diagnosed and treated?

Sciatica or lumbar radiculopathy can be diagnosed through a physical examination and imaging tests like an MRI. Treatment may include physical therapy, pain management, and sometimes medications or injections to reduce inflammation and pain.


What lifestyle changes can help manage hip osteoarthritis or bursitis?

Lifestyle changes to manage hip osteoarthritis or bursitis include maintaining a healthy weight, engaging in low-impact exercises, using ice or heat for pain relief, and avoiding activities that worsen the pain. Physical therapy can also be beneficial.


When should I seek immediate medical attention for my symptoms?

Seek immediate medical attention if you experience worsening weakness, numbness, or tingling in your leg, or if you develop new symptoms like bowel or bladder dysfunction, as these could indicate a more serious condition.


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