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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Hips And Legs?

95 year old mother in relatively good health has severe hip pain. Appears to be sciatic related as it runs down her leg. It gets marginally better if she can walk around but after sleeping she can not move without severe pain. Today I can t get her out of bed. What should I do?
Wed, 24 Aug 2016
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General & Family Physician,  's  Response
Pain in the distribution of sciatic nerve is caused by sciaitve nerve damage. There are many causes of peripheral nerve damage such as diabetes, chronic renal failure, leprosy, vertebral compression, vasculitis, shingles and hypothyroidism etc. Cause needs to be identified.
Advice
1.     Avoid the posture which aggravates pain and strenuous activity
2.     Try to sleep in supine position in which spine should be in extended position. Flexion of spine aggravates pain. So flexion movement of spine such as bending and sitting should be avoided
3.     Methylcobalamin 500 mcg once daily per oral for 3 months
4.     Gabapentin 100 mg (Capsule Neuronti 100 mg) thrice daily per oral for one month
5.     Consult a physiotherapist. Physiotherapist will suggest exercise for relieving such pain
6.     Investigation – MRI of spine, blood sugar (F & PP), serum creatinine
Thanks
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What Causes Severe Pain In The Hips And Legs?

Pain in the distribution of sciatic nerve is caused by sciaitve nerve damage. There are many causes of peripheral nerve damage such as diabetes, chronic renal failure, leprosy, vertebral compression, vasculitis, shingles and hypothyroidism etc. Cause needs to be identified. Advice 1. Avoid the posture which aggravates pain and strenuous activity 2. Try to sleep in supine position in which spine should be in extended position. Flexion of spine aggravates pain. So flexion movement of spine such as bending and sitting should be avoided 3. Methylcobalamin 500 mcg once daily per oral for 3 months 4. Gabapentin 100 mg (Capsule Neuronti 100 mg) thrice daily per oral for one month 5. Consult a physiotherapist. Physiotherapist will suggest exercise for relieving such pain 6. Investigation – MRI of spine, blood sugar (F & PP), serum creatinine Thanks