[61F] With degenerative disc disease and severe lower back pain

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Degenerative Disc Disease: This condition involves the breakdown of the discs in your spine, which can lead to pain, numbness, and weakness. The discs lose their cushioning ability, which can cause pain and discomfort, especially when bending or lifting.

  • Treatment: Physical therapy, pain medications, anti-inflammatory drugs, and sometimes surgical interventions can be used to manage symptoms.

• Herniated Discs: You mentioned having four herniated discs. This occurs when the soft inner gel of the disc pushes out through a tear in the outer layer, which can press on nearby nerves and cause pain, numbness, and weakness.

  • Treatment: Physical therapy, pain relief medications, and sometimes surgery to remove or repair the herniated portion of the disc.

• Spinal Stenosis: This is the narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. This can lead to pain, numbness, and muscle weakness.

  • Treatment: Physical therapy, medications to relieve pain and inflammation, and sometimes surgery to create more space for the spinal cord and nerves.

• Sciatica: The pain and numbness radiating down your legs could be due to sciatica, which is caused by irritation or compression of the sciatic nerve.

  • Treatment: Physical therapy, pain relief medications, and lifestyle changes to reduce pressure on the sciatic nerve.

What you can do

1. Consult a Specialist: Given the complexity and severity of your symptoms, it is important to consult a spine specialist or neurologist for a comprehensive evaluation and personalized treatment plan.
2. Physical Therapy: Engage in physical therapy exercises designed to strengthen the muscles supporting your spine and improve flexibility.
3. Pain Management: Continue taking your prescribed medications, and discuss with your doctor if adjustments are needed. Over-the-counter pain relievers and anti-inflammatory drugs may also help.
4. Lifestyle Modifications: Maintain a healthy weight, practice good posture, and avoid activities that exacerbate your pain. Gentle exercises like swimming or walking can help keep you active without putting too much strain on your back.
5. Use Supportive Devices: Consider using supportive devices like lumbar cushions or braces to help alleviate pressure on your spine.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Loss of Bowel or Bladder Control: This could indicate a serious condition called cauda equina syndrome, which requires urgent medical intervention.
• Severe or Worsening Pain: If your pain becomes unbearable or significantly worsens, it is important to seek medical help.
• Fever or Signs of Infection: If you develop a fever or notice any signs of infection, contact your healthcare provider.
• Progressive Weakness or Numbness: If you notice increasing weakness or numbness in your legs or other areas, seek medical attention promptly.

Remember, while this information can help guide you, it is essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.