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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain From Hip To Knee And Calf, Cramping In Foot. Constant Pain. Suggestion?

hi i have pain from my hip right down to the back of my knee and calf and even cramping in my foot and lower back i cannot even lay on that side of my hip at nite because it is constant aching just like a toothache and when i bend my knees i cant i have to stretch them out straight i have had many sleepless nites so i end up laying on my back a lot which causes lower back pain when i get up in the morning

Sat, 12 Oct 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

All your symptoms in the description are highly suggestive of Lumbar disc disease with radiculopathy. An MRI scan of the Lumbar spine is necessary to know the severity of the problem.

The initial management of this condition is always conservative by the following means -

- Avoid excessive forward bending activities as it will worsen the disc protrusion, if you want to bend forwards, you have to keep your hips and knees in some flexion.
- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Use a lumbosacral back support to stabilize your spinal muscles
- Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements may be helpful.
- Intermittent pelvic traction might be helpful to cause a regression of the protruded discs
- Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.

Hope this information is helpful. Good day
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Pain From Hip To Knee And Calf, Cramping In Foot. Constant Pain. Suggestion?

Hi, thanks for writing to HCM. All your symptoms in the description are highly suggestive of Lumbar disc disease with radiculopathy. An MRI scan of the Lumbar spine is necessary to know the severity of the problem. The initial management of this condition is always conservative by the following means - - Avoid excessive forward bending activities as it will worsen the disc protrusion, if you want to bend forwards, you have to keep your hips and knees in some flexion. - Maintain optimum body weight,if you are obese - Avoid lifting heavy weights as it imparts more strain on your back - Use a lumbosacral back support to stabilize your spinal muscles - Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements may be helpful. - Intermittent pelvic traction might be helpful to cause a regression of the protruded discs - Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided. Hope this information is helpful. Good day