
Having Pain In Groin Area And Leg. What Cure Is To Be Taken?

Thank you for contacting Healthcare Magic.
I appreciate the details regarding your symptoms and other relevant history.
Your symptoms are suggestive of a nerve compression in the lumbar region (lower back). The most common reason for nerve compression at the back is usually a slipped disc.
The common symptoms include radicular pain (sharp, shooting pain as you have described), tingling & numbness in legs & feet, and weakness.
The diagnosis can be confirmed by MRI scan of the lumbar spine.
As of now, you can consult a physiotherapist, who would teach you back extension exercises, which can be done at home.
You should also avoid forward bending and lifting heavy weights.
If pain is troublesome, you could take medicines such as gabapentin or pregabalin (your doctor can prescribe this for you).
If pain is persisting or getting worse, you could see the doctor (I know you hate seeing the doctor!).
Please get back if you require any further information.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
XXXXXX Consultant Neurologist


I do not feel any tingling or numbness.
Could you be a little more specific regarding the word weakness. Do you mean loss of strength or like tiredness?
Could you tell me what might have caused this condition?
Also if I just do nothing would it lead to something serious or is it already considered something serious?
What sort of doctor should I consult? What area of medicine is this?
Weakness refers to loss of strength. In this case, toes, ankle and foot are usually affected.
Numbness and weakness occur in more severe cases of nerve compression. So, it is good that you do not have those symptoms.
There are several factors that can cause slipped disc. However, it may be difficult to pinpoint the exact reason. Common factors could be injuries to back, sitting for long duration as required in certain jobs, frequent bending or lifting heavy weights, weakness of back muscles and genetic predisposition.
It is not serious and responds well to treatment.
You need to consult a neurologist or neurosurgeon.
I hope to have answered your queries. Please get back if you have any more follow up questions.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)


There is something which I failed to mention because I thought it was irrelavant at the time.
I work at home on the computer. So I spend long hours on a couch or bed in very bad posture positions.
Is this the possible cause of my condition which you have outlined?
Would improving my posture by sitting on a propper chair and doing the back extension exercises you recommended be enough to live with this problem?
Can I live with this problem doing the aforementioned or is this something which will inevitably get worse no matter what I do?
Also if the shooting pain in the leg goes away, is that a sign that I am coping well with the problem or are there unseen symtoms that I must be aware of?
Final bottom line question is: If the pain goes away, do I still need to go to the doctor and do the tests you mentioned anyway?
Going to a medical facility in Brazil means exposing ones self to a wide range of diseases and also exposing ones self to corrupt health plans which will push many unnecessary test like Xray and blood tests which have nothing to do with my condition.
I have a health plan but its reserved for a case where I'm dying and probably unconcious.
Having said all that if you say that I have to go then I will go.
Thanks again Doctor XXXXXX you have been most helpful.
I agree with you that your "bad" posture could be partly responsible for your problem.
Improving your posture and doing physiotherapy is successful in a majority of cases in halting the disease progression.
You can live well with this problem and it does not lead to any major handicap in 90% of people, if you take precautions.
For pain, you may require the medicines as I listed above.
If pain goes away, we can assume that your problem is under control and there is no need to worry.
There is no real need at the moment to see the doctor.
Brazil is a beautiful country (so is India)....but the corrupt practices are universal (we also face it in India). So, let us hope you do not require to use your health plan ever!
Best wishes for a speedy recovery,
Dr Sudhir Kumar MD DM (Neurology)
XXXXXX Consultant Neurologist

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