Ask a Neurologist. Get Answers to Your Neurology Questions.
Hi, I am Neuro Doctor, an American Board Certified Neurologist with vast clinical experience.
Could you tell me what exactly is your question?
The computer screen shows you are "typing", but I do not see any message on the screen, are you facing any technical issues? or do you need more time? if more time is needed it is perfectly fine, please take your time.
I have had lower back pain for nearly 3 months it is in the middle very low, i feels like a pressure pain. I also have a little numbness in the right calf. It does not restrict my movement but I am feeling very tied, I have had some accupuncture and massage they think it is the facia muscle strain as the pain seemed to come on quickly. I have had a CT scan and x-ray which showed nothing.
Okay I see
I am now going to ask few questions to gather additional information about your health
Is there any history of trauma or injuries?
How severe is the pain on a scale of 1 to 10?
The back pain does not shoot down to leg, is that right?
Is the pain constant in its severity, or the severity fluctuates?
severity fluctuates but never goes away
Is there any particular position or activity makes it worse?
not really however yesterday I was on my feet for a longer time and it was worse in the afternoon
Does coughing or straining worsens the severity of pain?
Have you ever had this type of pain before?
Is there any leg weakness?
I don't think so
Have you tried anything else other than physio, massage or acupuncture?
I have had some steroid tablets with not use and it does not respond the any type of pain medicine
Do you remember what meds you tried (other than steroid)?
nurofen and panadol
I know you had CT scan & x rays, but have you had any MRI of the spine?
not yet I asked my doctor for a mri however she said I was paranoid and it was just lower back pain and it will go away I can try and ask her again to write me the referral
You actually did the correct thing by asking MRI
CT scan & X rays can miss lot of things which can be easily picked by MRI
So ideally you need an MRI of the back
It will help in showing a disc, or other spine conditions that might have been missed on CT and x rays
The information obtained from the MRI will help in choosing the best treatment plan
If possible you may see a neurologist too
Ok I will ask again do you have any idea what it could be and what pain relief would be best
Yes please ask for MRI again. Yes I will explain now
This could be some disc bulge
which can cause back pain
the numbness in the calf may be from a pinched spinal nerve
the MRI can show these
there may be other soft tissue problems in the back/spine
like certain ligament injury
or a tear in the covering sheath of the disc
all these things may be missed on CT scan or x rays
So MRI will help
I will now discuss the treatment options
Have you tried something called as nerve-pain pills? for example Gabapentin or Amitriptyline?
So one of these pills could be an option
These pills help for the type of pain you are having
I will give more options
TENS is another option
TENS is Transcutaneous electrical nerve stimulation
It is a type of electrotherapy
It helps for the back pain
There is another type of electrotherapy called as Interferential therapy
It also can help for back pain
Have you tried the above electrotherapies?
Okay so one of the above electrotherapies could be an option
Have you tried ESI (Epidural steroid injections)?
Okay, then ESI could be an option too.
How about Traction therapy to the back?
Okay then they can try some traction therapy too
These are some different options to help with your annoying back pain
The nerve-pain pills can help for back pain as well as the calf numbness too
You may insist on MRI with your Dr
do you know if you can get the never pills over the counter
And please discuss about these treatment options
Did you mean whether these pills are over the counter?
Actually these nerve-pain pills are by prescription only
If you want over the counter then I will recommend another option
Have you tried any pain reliving skin creams so far?
There are not too many options as over the counter
The nerve-pain pills mentioned above are prescription pills
OK I will ask the doctor for the MRI and the nerve pills and see how we go thank you
Yes please discuss about the MRI and the treatment options I mentioned above with your DR. You are very welcome!
I earnestly hope the above treatment options will help you.
Do you have any further questions?
no thank you I hope things improve soon
You are very welcome! I wish you a quick and complete recovery, all the best!
thank you cheers