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How To Treat Acute Back And Knee Pain?
i have some vein reflux, i have already had a lateral release on right knee but still have pain and bad crackling. i already had the 3 in 1 synvisk injection and didn t help much. i also have l5 s1 rediculopathy and had 1 set of injections in lower back didn t help much. i also have a t12 l1 paracentral disc protrusion that causes mass effect on the thecal sac and displaces tranversing nerve roots. my les feel like pins and needles most of the time. i have killer pain in lower legs alot. my knee hurts alot ,sometimes it feels like i need a cane to walk with my knee. my back feels like someone is stabbing me,pain that sometimes shoots around the bottom right side of my ribs. i also have bad pains in my groin after trying to move or lift something or driving for a while. what can i do for this pain?
Fri, 14 Aug 2020
Hello,
You have a history of radiculopathy, vein reflux and now you are having pain in the legs, knee and back. It is the lumbar spinal nerve root compression that is causing you pain and discomfort. It is treated with a combination of physical therapy, activity modulation, exercises to help stabilize the spine and make more space for the spinal root nerves. It should be combined with medicines like analgesics to reduce pain and NSAIDS to reduce swelling and redness.
Sometimes, the treating doctor may suggest surgery if other things don't work. However, since you are felling pins and needles sensation, you are suggested to get clinically examined by a GP / Neurologist and get NCV tests, nerve biopsy, blood tests (to rule out OA, RA, etc) and imaging (CT / MRI, etc) to detect any developing peripheral artery disease. For ease pain in the ribs you can take antacids and PPI's, in case it is due to acid reflux you will get relieve.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician
You have a history of radiculopathy, vein reflux and now you are having pain in the legs, knee and back. It is the lumbar spinal nerve root compression that is causing you pain and discomfort. It is treated with a combination of physical therapy, activity modulation, exercises to help stabilize the spine and make more space for the spinal root nerves. It should be combined with medicines like analgesics to reduce pain and NSAIDS to reduce swelling and redness.
Sometimes, the treating doctor may suggest surgery if other things don't work. However, since you are felling pins and needles sensation, you are suggested to get clinically examined by a GP / Neurologist and get NCV tests, nerve biopsy, blood tests (to rule out OA, RA, etc) and imaging (CT / MRI, etc) to detect any developing peripheral artery disease. For ease pain in the ribs you can take antacids and PPI's, in case it is due to acid reflux you will get relieve.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician
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