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Hello, Back pain and leg pain? Sudden

Sent to Health Experts June 17 08:51 PM

Hello,
           Back pain and leg pain? Sudden onset. what would you suggest is the next step??

 

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Female , Age: 55

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motrin

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June 17 8:56 PM (5 minutes and 3 seconds later)
         
REPLIED to Info RequestCheck Mark
Do you have any other symptoms? What medical problems do you have? Any previous similar symptoms? Did you do something - an injury? Where in the back? Where in the leg (front, back of leg, how far down?)
Does anything you do increase or decrease the pain?

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Family Physician -- Doctor (MD) -- 99% Positive Feedback on 4123 Health Accepts
Physician with 22 years experience in Emergency Medicine / Family Medicine
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June 17 9:04 PM (7 minutes and 35 seconds later)
         
Reply to Family Physician's Post: Yes I have right hip pain that wakes me up in the middle of the night. The pain goes down both of my legs front. I have ahd a HNP at L4&5 which resolved not injury.Lifting. The pain woke me out of my sleep last night, which has never happened in the past.
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Answer
June 17 9:19 PM (15 minutes and 31 seconds later)
         
REPLIEDCheck Mark
I would suspect that you have a recurrent herniated disc. The fact that the pain woke you from sleep is somewhat concerning.

If you have any of the RED FLAGS - weakness, urinary problems, loss of sensation etc - then I would see someone ASAP - and your may need to have an urgent CT of your back performed if the examination suggest a serious problem.

Here is an excellent article on the management of back pain (written for family physicians)

If you have additional questions after reading this - let me know
http://www.aafp.org/afp/991115ap/2299.html

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Family Physician -- Doctor (MD) -- 99% Positive Feedback on 4123 Health Accepts
Physician with 22 years experience in Emergency Medicine / Family Medicine
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June 17 9:27 PM (7 minutes and 18 seconds later)
         
Reply to Family Physician's Post: Thank you would you suggest that use heat or ice? I also have another question. Ia have gained at least 20 lbs in the last 8mos. Allof my recent lab work comes back with in normal range . However was told that I had increase in protein with myn last set of labs>
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Answer
June 17 9:37 PM (10 minutes and 59 seconds later)
         
REPLIEDCheck Mark
Most people find that heat helps relax muscles better - although either can be used depending on how it makes it feel - local application of heat/ice is NOT going to do anything a a currative nature - more symptomatic treatment - whichever seems to help you best.

Laying flat - with your knees bent can help at times.

The weight gain could be from a number of things (Most people gain weight - myself included because we end up eating a little too much, and do less than we should) Other things that could cause this - fluid retention (are your ankles or abdomen swollen??)

There are two type of protein - Albumin and globulin. Depending on which is elevated would make a difference. Here is some information on protein levels.
http://www.labtestsonline.org/understanding/analytes/tp/test.html

Caution: If the globulin were the element that was elevated it COULD suggest a problem such as multiple myeloma which CAN cause back problems including compression fractures


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Family Physician -- Doctor (MD) -- 99% Positive Feedback on 4123 Health Accepts
Physician with 22 years experience in Emergency Medicine / Family Medicine
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June 17 9:47 PM (9 minutes and 24 seconds later)
         
Reply to Family Physician's Post: They swell after more now, or it may be that I notice more. I feel huge, just plain uncomfortable. The Internist her felt that it was due to the winter, but this is not normal for me by any means,the last time I gain this much weight was when I was pregnant. I do not eat any differently. It is very much of a concern. I was tested for diabetes and that was negative.
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June 17 9:51 PM (4 minutes and 17 seconds later)
         
ACCEPTEDCheck Mark
Based on your constellation of symptoms - abnormal lab reports, weight gain, swelling, and SEVERE sudden back pain - I would suggest being seen in regards to the back pain.

Did you have a chance to check the article I sent you?

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Family Physician -- Doctor (MD) -- 99% Positive Feedback on 4123 Health Accepts
Physician with 22 years experience in Emergency Medicine / Family Medicine
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June 17 10:42 PM (51 minutes later)
         
Reply to Family Physician's Post: Yes I did , I have read it before.. I thank you for your time. I will see the doctor on Monday.
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