[48F] Experiencing severe leg and lower back pain

Patient Description

A 48-year-old female reports experiencing constant aching and burning pain in both legs and the lower back for over a month, with the leg pain being particularly severe, rated at an 8 out of 10. The pain is described as deep within the muscle tissue and is exacerbated by any form of movement, including standing, walking, and even movements while seated or lying down. The back pain, described as severe burning pain, has been present off and on for approximately 6 months. The patient has not experienced any recent injuries that could be related to these symptoms. There is no mention of any specific activities or treatments that provide relief for the back pain.

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Arora's Assessment

What might be happening

Based on the information you've provided, you could be experiencing one of the following conditions:

  • Sciatica: This condition is caused by irritation or compression of the sciatic nerve, which runs from your lower back down to your legs. It can cause pain, numbness, and a burning sensation in the back, buttocks, and legs. The pain can be constant or intermittent, and it can vary in intensity.

    • Treatment often involves physical therapy, pain medications, and in some cases, surgery.
  • Peripheral Neuropathy: This condition is characterized by damage to the peripheral nerves, which can cause pain, tingling, and numbness in the hands and feet. It can be caused by a variety of conditions, including diabetes, infections, and vitamin deficiencies.

    • Treatment focuses on managing the underlying cause and relieving symptoms. This may involve medications, physical therapy, and lifestyle changes.
  • Fibromyalgia: This is a chronic condition characterized by widespread pain in the muscles and soft tissues. The pain can be constant or intermittent, and it can vary in intensity. Other symptoms can include fatigue, sleep disturbances, and mood changes.

    • Treatment often involves a combination of medications, exercise, stress management techniques, and lifestyle changes.

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 alleviate your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol), ibuprofen (Advil, Motrin IB), and naproxen sodium (Aleve) can help relieve pain.
  2. Heat or cold: Applying heat or cold to the affected areas can help reduce pain and inflammation.
  3. Gentle exercises: Low-impact activities like swimming or walking can help improve muscle strength and reduce pain. However, it's important to start slowly and gradually increase your activity level.
  4. Rest: Make sure you're getting enough sleep and taking breaks throughout the day to rest and relax.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or unbearable
  • If you notice any weakness or numbness in your legs
  • If you have difficulty walking or moving
  • If your symptoms do not improve with rest and over-the-counter treatments

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 accurate information.

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9 mo ago

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People Also Ask


What are the common symptoms of sciatica?

Common symptoms of sciatica include pain that radiates from the lower back down the leg, numbness or tingling in the leg or foot, and a burning sensation. The pain can be sharp or dull and may worsen with movement.


How is peripheral neuropathy diagnosed and treated?

Peripheral neuropathy is diagnosed through a combination of medical history, physical examination, and tests such as nerve conduction studies or blood tests. Treatment focuses on managing the underlying cause, relieving symptoms with medications, and incorporating physical therapy and lifestyle changes.


What lifestyle changes can help manage fibromyalgia symptoms?

Lifestyle changes that can help manage fibromyalgia symptoms include regular low-impact exercise, stress management techniques like yoga or meditation, maintaining a healthy diet, and ensuring adequate sleep. It's also important to pace activities to avoid overexertion.


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

You should see a doctor for leg and back pain if the pain becomes severe or unbearable, if you experience weakness or numbness in your legs, if you have difficulty walking or moving, or if your symptoms do not improve with rest and over-the-counter treatments.


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