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Suggest Treatment For Severe Lower Back Pain And Toe Numbness
Question: I had upper back pain and now I have lower back pain and it is painful when I sit for long. Also I feel my left leg (foot) the first two fingers numb when I stand for long. I have the pain around the hip.
I have burning sensation around the upper back. I went to Doc and they did the x-ray for upper back (as I had no lower back pain)
I have the lower back pain some times feels like the hip joint on left leg near pelvic bon or upper groin area, its like an ache. Its not throbbing pain, but a pain which is continues. When I change posture the pain subsides, as well as hot and cold compress makes it go away for a while.
Also when I went to m annual health check couple of days ago i had the upper back pain and the X-ray shows no issues.
Narrative:
Spine, thoracic , 4 views.
Clinical data: Evaluate T6-7 for bony abnormality .
COMPARISON: None .
FINDINGS: No fracture, dislocation, subluxation, or paraspinal soft tissue
swelling is evident . There is minimal dorsal scoliosis of thoracic spine with
7 degrees of curvature measured from superior endplate of T5 to inferior
endplate of T11, apex at T7. No osseous abnormality seen in mid thoracic spine.
No significant degenerative changes. Several rounded dense foci project over
the superior aspect of left first rib on frontal view which are not seen in
lateral view. Possibly supraclavicular calcified nodes versus overlying foreign
body.
Impression:
IMPRESSION:
1. No acute osseous injury evident .
2. Mild dextroscoliosis of thoracic spine.
3. Dense foci projecting superior to left first rib on frontal view may
represent overlying foreign body versus calcified left supraclavicular nodes, in
which case evidence of old granulomatous disease.
But I have now the lower back pain, not sure if there is anything wrong. I work sitting a lot, I didn't do anything strange which I will hurt my back.
Can you help ?
I have burning sensation around the upper back. I went to Doc and they did the x-ray for upper back (as I had no lower back pain)
I have the lower back pain some times feels like the hip joint on left leg near pelvic bon or upper groin area, its like an ache. Its not throbbing pain, but a pain which is continues. When I change posture the pain subsides, as well as hot and cold compress makes it go away for a while.
Also when I went to m annual health check couple of days ago i had the upper back pain and the X-ray shows no issues.
Narrative:
Spine, thoracic , 4 views.
Clinical data: Evaluate T6-7 for bony abnormality .
COMPARISON: None .
FINDINGS: No fracture, dislocation, subluxation, or paraspinal soft tissue
swelling is evident . There is minimal dorsal scoliosis of thoracic spine with
7 degrees of curvature measured from superior endplate of T5 to inferior
endplate of T11, apex at T7. No osseous abnormality seen in mid thoracic spine.
No significant degenerative changes. Several rounded dense foci project over
the superior aspect of left first rib on frontal view which are not seen in
lateral view. Possibly supraclavicular calcified nodes versus overlying foreign
body.
Impression:
IMPRESSION:
1. No acute osseous injury evident .
2. Mild dextroscoliosis of thoracic spine.
3. Dense foci projecting superior to left first rib on frontal view may
represent overlying foreign body versus calcified left supraclavicular nodes, in
which case evidence of old granulomatous disease.
But I have now the lower back pain, not sure if there is anything wrong. I work sitting a lot, I didn't do anything strange which I will hurt my back.
Can you help ?
Brief Answer:
Please tell some further clinical details:
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I understand your concerns and I shall try to answer your query at my best,but it just that I need to know a few extra details.
1)Any history of tingling in legs?
2)Is there any pain,associated while having movements at hip joint?
3)Any other disease or past medical history?
Though,with the details you have provided,it appears to be lumbo-sacral radiculopathy causing your symptoms.However, with the above details,I shall be able to comment better on it.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Please tell some further clinical details:
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I understand your concerns and I shall try to answer your query at my best,but it just that I need to know a few extra details.
1)Any history of tingling in legs?
2)Is there any pain,associated while having movements at hip joint?
3)Any other disease or past medical history?
Though,with the details you have provided,it appears to be lumbo-sacral radiculopathy causing your symptoms.However, with the above details,I shall be able to comment better on it.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Sonia Raina
1)Any history of tingling in legs?
Not at all and I feel the numbness only when I stand up if there is any.
2)Is there any pain,associated while having movements at hip joint?
No pain while movement
3)Any other disease or past medical history?
None
Also if i do hot and cold the pain goes off for a while. And I can stretch and pull it doesn't hurt, If I sit it hurts lower back.
lumbo-sacral radiculopathy - is it bad? I am a bit more worried now...
Not at all and I feel the numbness only when I stand up if there is any.
2)Is there any pain,associated while having movements at hip joint?
No pain while movement
3)Any other disease or past medical history?
None
Also if i do hot and cold the pain goes off for a while. And I can stretch and pull it doesn't hurt, If I sit it hurts lower back.
lumbo-sacral radiculopathy - is it bad? I am a bit more worried now...
Brief Answer:
MRI L-S Spine should be done.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.
In view of the clinical history,as provided by you, I suggest you to please undergo a MRI of Lumbo-sacral spine. This is essential to rule out the degenerative spine changes,with possible lumbo-sacral radicular involvement, which appears to be the likely cause of your symptoms.
If it comes out to be lumbo-sacral radiculopathy indeed, it appears to be of early stage depending on the symptoms, and should improve with medicines and spinal exercises.Please follow-up after getting the MRI done.
Hope it helps.If you have some further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
MRI L-S Spine should be done.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.
In view of the clinical history,as provided by you, I suggest you to please undergo a MRI of Lumbo-sacral spine. This is essential to rule out the degenerative spine changes,with possible lumbo-sacral radicular involvement, which appears to be the likely cause of your symptoms.
If it comes out to be lumbo-sacral radiculopathy indeed, it appears to be of early stage depending on the symptoms, and should improve with medicines and spinal exercises.Please follow-up after getting the MRI done.
Hope it helps.If you have some further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
Spine changes can cause low back pain and numbness in fingers.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Degenerative spine with L-S radiculopathy can cause back pain along with numbness in fingers of legs.So,MRI L-S Spine is the next investigation to go for.
Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Spine changes can cause low back pain and numbness in fingers.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Degenerative spine with L-S radiculopathy can cause back pain along with numbness in fingers of legs.So,MRI L-S Spine is the next investigation to go for.
Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
MRI whole spine.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Of course!the question is just fine.Actually you did not mention about the numbness in the finger of the palm,above.With upper and lower back pain with numbness in palm as well as foot,I suggest you to go for MRI whole spine.
If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
MRI whole spine.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Of course!the question is just fine.Actually you did not mention about the numbness in the finger of the palm,above.With upper and lower back pain with numbness in palm as well as foot,I suggest you to go for MRI whole spine.
If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Do you think it is serious? I am little worried now.
Brief Answer:
Doesn't appear to be advanced stage disease.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
In view of your symptoms,it does not appear to be of advanced stage of the disease.However,clinical and radiological mismatch can occur often.So,I shall be better able to comment on it,once I see the MRI image.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Doesn't appear to be advanced stage disease.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
In view of your symptoms,it does not appear to be of advanced stage of the disease.However,clinical and radiological mismatch can occur often.So,I shall be better able to comment on it,once I see the MRI image.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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