[45F] With severe leg pain post-back surgery

What might be happening

Based on your symptoms and history, here are some possibilities:

• Nerve Compression or Sciatica: Given your history of back decompression surgery, it's possible that a nerve in your lower back is being compressed again, causing sharp, radiating pain, numbness, and weakness in your leg. This is often referred to as sciatica.

  • Treatment: Typically involves physical therapy, medications like anti-inflammatories or nerve pain medications, and sometimes further surgical evaluation.

• Peripheral Neuropathy: This condition involves damage to the nerves outside the brain and spinal cord, which can cause pain, numbness, and weakness.

  • Treatment: Focuses on managing symptoms and addressing the underlying cause, if known.

• Vascular Issues: Although less likely given the lack of swelling, coldness in the foot could suggest a circulation problem.

  • Treatment: Would involve addressing any vascular blockages or issues.

What you can do

• Follow Up with Your Doctor: It's important to keep your upcoming appointments and discuss these symptoms with your healthcare provider. They may adjust your treatment plan based on the MRI results.
• Symptom Management: Continue taking your prescribed medications. Elevating your leg seems to help, so do this as needed.
• Lifestyle Adjustments: Try to maintain a healthy weight and consider gentle exercises, like swimming or cycling, that don't strain your back or legs.
• Use MDandMe: Track your symptoms, medication effects, and any changes in your condition. This information can be valuable for your healthcare provider.

What you should look out for

• Seek Immediate Care If: You experience sudden worsening of symptoms, loss of bowel or bladder control, or significant changes in skin color or temperature in your leg.
• Monitor Symptoms: Keep an eye on any new symptoms or changes in your current condition.

Remember, this information is not a substitute for professional medical advice. Please consult with your healthcare provider for a formal diagnosis and treatment plan.