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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constant Pain In Lower Back Radiating To The Legs?

Hi, I am a 36 yr old female of 200lbs. I have diabetes and have been diagnosed with neuropathy, fibromyalgia and in my mri it say I have slight bulging of the discs l1-l5 superimposed on congenital narrowing of the bony spinal canal and also arthritis. Now I am in constant pain in the lower back and the pain radiates to my legs with numbness and tingling sensation. I also am having neck pain that radiates to shoulders and down arms to hands and they swell. I have gone to neurologist and neurosurgeon and they have told me that my pain is a mystery and that I don't need surgery. I need answers where can I go.
Tue, 5 Aug 2014
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM
I have gone through your query.Your constant pain in back and radiation to legs can be due to nerve compression syndrome caused by bulging of lumbar intervertebral discs.And addition to that you might be having diabetic neuropathy.By decreasing your weight you can get some relief of symptoms.Sugar level should be adequately controlled.Liraglutide can be considered for loosing weight and controlling sugar before insulin therapy.I also advise my patient in such case with muscle relaxants like thiocolchicoside and drugs like Pregabalin or gabapentin to control neuropatic pain and neurotropic drugs.Physiotherapy and muscle strengthening exercises is also main element in therapy.With proper therapy and follow up you might get relief.Hope this may help you.
Let me know if you have any further query.
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What Causes Constant Pain In Lower Back Radiating To The Legs?

Hi Thank you for asking HCM I have gone through your query.Your constant pain in back and radiation to legs can be due to nerve compression syndrome caused by bulging of lumbar intervertebral discs.And addition to that you might be having diabetic neuropathy.By decreasing your weight you can get some relief of symptoms.Sugar level should be adequately controlled.Liraglutide can be considered for loosing weight and controlling sugar before insulin therapy.I also advise my patient in such case with muscle relaxants like thiocolchicoside and drugs like Pregabalin or gabapentin to control neuropatic pain and neurotropic drugs.Physiotherapy and muscle strengthening exercises is also main element in therapy.With proper therapy and follow up you might get relief.Hope this may help you. Let me know if you have any further query.