[58M] With localized lower leg pain and chronic lower back pain

What might be happening

Based on the information you've provided, possible diagnoses include:

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your feet, becomes irritated or compressed. Symptoms often include lower back pain, buttock pain, and numbness or pain that radiates down the leg. This could explain both your lower back pain and your leg pain.

  • Treatment typically involves physical therapy and pain management. In severe cases, surgery may be necessary.

• Peripheral Artery Disease (PAD): This condition is caused by a buildup of plaque in the arteries that supply blood to your legs. Symptoms can include pain or numbness in the legs, and the pain often worsens with physical activity. However, PAD is less likely given that your leg pain doesn't seem to be related to physical activity.

  • Treatment usually involves lifestyle changes, medication to prevent blood clots, and sometimes surgery.

• Peripheral Neuropathy: This condition involves damage to the peripheral nerves, which can cause pain, numbness, or weakness in the legs. However, this is less likely given that you've only described pain and occasional numbness, not weakness.

  • Treatment usually involves managing the underlying cause of the neuropathy, as well as medications to manage symptoms.

What you can do

1. Consult a healthcare professional: Given the duration and severity of your symptoms, it's important to seek medical attention. A healthcare professional can provide a formal diagnosis and appropriate treatment plan.

2. Maintain a healthy lifestyle: Regular exercise, a balanced diet, and avoiding smoking can help improve overall health and may help manage your symptoms.

3. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol), ibuprofen (Advil, Motrin), and naproxen (Aleve) may help manage your pain. However, these should be used as directed by a healthcare professional.

What you should look out for

Contact a healthcare professional immediately if:

• Your pain significantly worsens
• You experience sudden or severe weakness in your leg
• You notice changes in color or temperature in your leg
• You develop sores or ulcers on your leg that won't heal

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.