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Suggest Treatment For Persistent Back Pain And Fatigue
My husband has had two episodes of severe low back weakness radiating down left leg mostly, but right also. He stands with a cane/walking also/ then his posture is leaning to the left side or backwards. His vitals are stable, no stroke symptoms/. He can raise both arms well, lift legs(when lying down), speaks clearly, no smile deficiency. recent ct scans (dr. states) has old probable strokes. Can you possibly find a diagnosis fo him and some treatment. He has been complaining of severe back pain for sometime now and left leg weakness. Mrs. Alfred Spinks Thank you
Thu, 21 Nov 2019
Hello,
This back pain can be due to past strokes and most probably due to neural origin. The description shows clear neural pain. So, I would like to give some tests and medications.
Although the tests are not done, as you ask for a diagnosis, in my opinion, this is Peripheral Neuropathy.
Some of the tests to be done:
1. Electromyography
2. Complete Blood Test including Fasting Blood Glucose.
I would like to give some medication also:
1. Pain killer like Ibuprofen or Tramadol for more severe pain
2. Capsaicin cream for pain or Lidocaine patches
3. Gabapentin 3 times a day for 1 month
4. Vitamin B Complex
Good nutrition, exercise of arms and legs, rest, fluid intake, all has to be maintained properly.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Dipan Samanta, General & Family Physician
This back pain can be due to past strokes and most probably due to neural origin. The description shows clear neural pain. So, I would like to give some tests and medications.
Although the tests are not done, as you ask for a diagnosis, in my opinion, this is Peripheral Neuropathy.
Some of the tests to be done:
1. Electromyography
2. Complete Blood Test including Fasting Blood Glucose.
I would like to give some medication also:
1. Pain killer like Ibuprofen or Tramadol for more severe pain
2. Capsaicin cream for pain or Lidocaine patches
3. Gabapentin 3 times a day for 1 month
4. Vitamin B Complex
Good nutrition, exercise of arms and legs, rest, fluid intake, all has to be maintained properly.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Dipan Samanta, General & Family Physician
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