[43F] Experiencing burning sensation in legs and low back ache

Patient Description

A 43-year-old female is reporting a burning sensation on the outside of her legs, described as a tingling feeling or similar to razor burn, which has been present for about a week. The sensation is spread out across the top of her thigh and the outside of her lower leg. Additionally, she is experiencing low back ache and stiffness when walking, which she relates to previous sciatica-like issues. There is no reported loss of bladder or bowel control, numbness in the groin or inner thighs, or weakness in the legs. She can feel temperature and sharp objects but is dealing with aches and stiffness. Her medical history includes arthritis and spinal stenosis diagnosed a couple of years ago, and she is currently on weight loss medication with a recent 10 lb weight loss. She has allergies to amoxicillin/penicillin and sulfa drugs, as well as seasonal allergies. Her current medications include Victoza, phentermine, topamax, montelukast, levocetirizine, and desvenlafaxine, in addition to vitamins B and D.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms could include:

  • Sciatica: This is a condition where pain radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. It's usually caused by a herniated disk, bone spur on the spine, or narrowing of the spine (spinal stenosis) compressing part of the nerve. This causes inflammation, pain, and often some numbness or tingling in the affected leg.

    • Treatment typically involves physical therapy, medications for pain relief, and in some cases surgery.
  • Peripheral Neuropathy: This results from damage to your peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body, including your legs.

    • Treatment typically involves managing the condition causing the neuropathy, medications for pain relief, and physical therapy.
  • Lumbar Spinal Stenosis: This is a narrowing of the spinal canal in the lower back, called the lumbar canal. It can cause a burning sensation or numbness in your legs, back, neck, shoulders or arms; balance problems; and incontinence.

    • Treatment typically involves physical therapy, medications for pain relief, and in some cases surgery.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Over-the-counter pain relievers: Nonprescription nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB, others) may provide temporary relief from back pain.
  2. Heat or cold: Use of heat or cold, or alternating use of the two, can lessen your lower back pain. Most doctors recommend applying heat to the area for 15 minutes at a time every hour, but you can experiment to see what helps you most.
  3. Exercise: Regular physical activity can help keep your back muscles strong and flexible. However, avoid activities that aggravate your pain.

What you should look out for

Reasons to see a doctor more urgently:

  • If you notice any loss of bowel or bladder control
  • If you develop severe pain, numbness or weakness in your legs
  • If your symptoms do not improve with home treatment

Please remember that 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, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common causes of a burning sensation in the legs?

A burning sensation in the legs can be caused by conditions such as sciatica, peripheral neuropathy, or lumbar spinal stenosis. These conditions may involve nerve compression or damage, leading to symptoms like tingling, burning, or numbness.


How is sciatica typically treated?

Sciatica is typically treated with a combination of physical therapy, pain relief medications, and sometimes surgery if the condition is severe. Treatment aims to reduce inflammation and relieve pressure on the sciatic nerve.


What is peripheral neuropathy and how can it affect the legs?

Peripheral neuropathy is a condition resulting from damage to the peripheral nerves, which can cause symptoms like weakness, numbness, and pain in the legs. It can be caused by diabetes, infections, injuries, or exposure to toxins, and treatment focuses on managing the underlying cause and relieving symptoms.


When should I see a doctor for back pain and leg symptoms?

You should see a doctor for back pain and leg symptoms if you experience loss of bowel or bladder control, severe pain, numbness, or weakness in your legs, or if your symptoms do not improve with home treatment. These could be signs of a more serious condition requiring medical attention.


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