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Suggest Treatment For Severe Leg Pain While Treating Osteoarthritis

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Posted on Thu, 28 Jan 2016
Question: What could cause sudden severe pain in both legs front and back, cannot tolerate weight bearing. I have RA and OSTEO arthritis taking ORENCIA infusions, a diabetic taking Humulin N. My legs are not swollen or red or itchy just severe pain
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Answered by Dr. Nishad BN (2 hours later)
Brief Answer:
It can be due to Lumbar radiculopathy (Sciatica)

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query and history of previous questions. Your problem of sudden severe pain in both legs can be most likely due to lumbar radiculopathy (Sciatica). X ray followed by MRI of Lumbo sacral spine will be helpful to rule out this.

For such condition in my patients I would suggest NSAIDs like Aceclofenac , Muscle relaxants like Cyclobenzaprine and neurotropic drugs like Pregabalin & Methylcobalamin.

Physiotherapy like TENS and massage will be helpful for this. Wearing a lumbar supporting belt also is good.
Avoid taking heavy weight. Avoid bending forward. Sleep on hard mattress. Avoid pillows and use orthopaedic pillows.
You can do hot fomentations on lower back with the help of some one.
A consultation with orthopaedician is well appreciated.

Let me know if anything not clear. I am happy to help you.
Thanks.
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Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

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Suggest Treatment For Severe Leg Pain While Treating Osteoarthritis

Brief Answer: It can be due to Lumbar radiculopathy (Sciatica) Detailed Answer: Hi Thank you for asking HCM I have gone through your query and history of previous questions. Your problem of sudden severe pain in both legs can be most likely due to lumbar radiculopathy (Sciatica). X ray followed by MRI of Lumbo sacral spine will be helpful to rule out this. For such condition in my patients I would suggest NSAIDs like Aceclofenac , Muscle relaxants like Cyclobenzaprine and neurotropic drugs like Pregabalin & Methylcobalamin. Physiotherapy like TENS and massage will be helpful for this. Wearing a lumbar supporting belt also is good. Avoid taking heavy weight. Avoid bending forward. Sleep on hard mattress. Avoid pillows and use orthopaedic pillows. You can do hot fomentations on lower back with the help of some one. A consultation with orthopaedician is well appreciated. Let me know if anything not clear. I am happy to help you. Thanks.