HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Pain And Numbness In Back And Leg, Like Sciatica, After An Injury. What Does It Indicate?

When I was 21 I sprained my back and now at 40 yrs, my siatic nerve acts us from time to time but usually goes away. 12 weeks ago I was riding in a speed boat with friends, hit waves and it bounced me up out of the seat about 6 inches, came down hard on my tailbone. Since then the pain is getting worse and in this past week if I stand or walk too long (30-60+ minutes) my lower back and left leg begin to hurt. Feels similar to siatic but its never felt quite this painful. It's a dull pain in my left hip joint, going down to my upper left leg and feels like front leg muscle is sore, like I've exercised too much, but have only stood or walked. Center of back will feel pinched a bit but not for long ...that part comes & goes. Occasionally my left foot gets cold/pins/needles feeling. If I lay on my right side and pull the left leg up towards chest, that relieves the pain. Tylenol arthritis doesn't seem to help.
Fri, 6 Dec 2013
Report Abuse
General & Family Physician 's  Response
hi, in your query, its my opinion may be your condition like a post traumatic neuropathy, implies nerve pain that has come on either after an injury or as a consequence of medical interventions like surgery, injections, radiotherapy etc.
Symptoms are usually felt at the site of the injury, and also radiate away from the site in the normal distribution of the nerve involved.
Neuralgic quality pain (burning, shooting) associated with hypersensitivity, numbness, tingling, and muscle weakness depending on whether the nerve involved is purely sensory, purely motor, or mixed sensory / motor.
in your condition you may have a femoral neuralgia: Neuralgic symptoms often radiate from the groin into the front of the thigh and inner shin as far as the ankle. Weakness of the quadriceps muscles may cause giving way of the knee joint.
Treatments are:
Physical Therapy may be appropriate after an injury, but may be difficult due the presence of pain and sensitivity. A multi-disciplinary approach should be tried combining inputs from different specialities.
Topical agents like capsaicin used regularly 4 times day may help. Lidocaine patches are also useful.
Somatic Nerve blocks on several occasions may help when a peripheral nerve trunk is involved and is easily accessible. Permanent blocks with Phenol, Cryotherapy, Radiofrequency lesions, are not advised as they may help initially, but may cause deafferentation pain afterwards, which is worse than the original problem. thanks
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Neuralgia


Loading Online Doctors....
Pain And Numbness In Back And Leg, Like Sciatica, After An Injury. What Does It Indicate?

hi, in your query, its my opinion may be your condition like a post traumatic neuropathy, implies nerve pain that has come on either after an injury or as a consequence of medical interventions like surgery, injections, radiotherapy etc. Symptoms are usually felt at the site of the injury, and also radiate away from the site in the normal distribution of the nerve involved. Neuralgic quality pain (burning, shooting) associated with hypersensitivity, numbness, tingling, and muscle weakness depending on whether the nerve involved is purely sensory, purely motor, or mixed sensory / motor. in your condition you may have a femoral neuralgia: Neuralgic symptoms often radiate from the groin into the front of the thigh and inner shin as far as the ankle. Weakness of the quadriceps muscles may cause giving way of the knee joint. Treatments are: Physical Therapy may be appropriate after an injury, but may be difficult due the presence of pain and sensitivity. A multi-disciplinary approach should be tried combining inputs from different specialities. Topical agents like capsaicin used regularly 4 times day may help. Lidocaine patches are also useful. Somatic Nerve blocks on several occasions may help when a peripheral nerve trunk is involved and is easily accessible. Permanent blocks with Phenol, Cryotherapy, Radiofrequency lesions, are not advised as they may help initially, but may cause deafferentation pain afterwards, which is worse than the original problem. thanks