[51F] Experiencing severe leg pain, weakness, and tingling

Patient Description

A 51-year-old female reports severe pain, weakness, and a tingling sensation in her left leg, which has been ongoing for a week. The pain is described as a shooting type, rated 8 out of 10 in severity, and the weakness is severe enough to impact daily activities, rated 9 out of 10. The tingling is likened to pins and needles and occasionally feels cold. Additionally, the patient experiences occasional pain in the left arm, changes in bladder or bowel control, but no recent injuries, unexplained weight loss, fever, or severe leg swelling. The patient's medical history includes colitis diagnosed in her teens, high blood pressure and gestational diabetes diagnosed in her twenties, high cholesterol in her thirties, and major depression in her forties. She also has an allergy to Vicodin. The patient is not currently on any medications and has a family history of stroke in her grandfather.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • 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. Typically, sciatica affects only one side of your body. It's usually caused when a herniated disk or bone spur in the spine presses on the nerve. Pain can be severe, and it can be accompanied by numbness, tingling, and muscle weakness.

    • Treatment often includes physical therapy and pain relievers. In severe cases, surgery may be required.
  • 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. Diabetes is a leading cause, but peripheral neuropathy can also be due to traumatic injuries, infections, metabolic problems, and exposure to toxins.

    • Treatment usually focuses on managing the condition causing your neuropathy and relieving symptoms. This can include medication, therapy, and possibly surgery.
  • Lumbar Spinal Stenosis: This is a narrowing of the spinal canal in the lower back, called the lumbar canal. It can cause leg pain and difficulty walking.

    • Treatment options include physical therapy, medication, and in some cases, surgery.

Please note that these are possibilities based on the information you've provided and are not a definitive diagnosis. You should consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Rest: Try to avoid activities that make your pain worse.
  2. Over-the-counter pain relievers: Non-prescription medications like ibuprofen or acetaminophen can help reduce pain.
  3. Heat or cold: Applying a hot or cold pack to the affected area may help relieve your symptoms.
  4. Gentle exercises: Simple exercises and stretches can help reduce pressure on the nerve. However, it's important to first check with a healthcare provider to ensure these exercises won't make your condition worse.

What you should look out for

  • If your pain or weakness significantly worsens
  • If you experience loss of bladder or bowel control
  • If you develop numbness or weakness in both legs
  • If you have unexplained weight loss or a fever

These could be signs of a more serious condition and you should seek immediate medical attention.

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10 mo ago

People Also Ask


What are the common causes of sciatica and how is it treated?

Sciatica is commonly caused by a herniated disk or bone spur pressing on the sciatic nerve. Treatment often includes physical therapy, pain relievers, and in severe cases, surgery.


How does peripheral neuropathy differ from sciatica, and what are its main causes?

Peripheral neuropathy is caused by damage to peripheral nerves and can result from diabetes, injuries, infections, or toxins. Unlike sciatica, it often affects hands and feet. Treatment focuses on managing the underlying condition and relieving symptoms.


What symptoms indicate lumbar spinal stenosis, and what are the treatment options?

Lumbar spinal stenosis is characterized by leg pain and difficulty walking due to narrowing of the spinal canal. Treatment options include physical therapy, medication, and possibly surgery.


When should someone with leg pain and weakness seek immediate medical attention?

Immediate medical attention is needed if there is significant worsening of pain or weakness, loss of bladder or bowel control, numbness or weakness in both legs, unexplained weight loss, or fever.


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