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Neuro Doctor
Neuro Doctor, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5040
Experience:  American Board Certified Neurologist, Internal Medicine
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I have had lower back pain for 3 months my right calf is a

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I have had lower back pain for 3 months my right calf is a little numb

Neuro Doctor :

Hi, I am Neuro Doctor, an American Board Certified Neurologist with vast clinical experience.

Neuro Doctor :

Could you tell me what exactly is your question?

Neuro Doctor :

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.

Customer:

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.

Neuro Doctor :

Okay I see

Neuro Doctor :

I am now going to ask few questions to gather additional information about your health

Neuro Doctor :

Is there any history of trauma or injuries?

Customer:

no

Neuro Doctor :

Okay I see

Neuro Doctor :

How severe is the pain on a scale of 1 to 10?

Customer:

6

Neuro Doctor :

Okay I see

Neuro Doctor :

The back pain does not shoot down to leg, is that right?

Customer:

yes

Neuro Doctor :

Okay I see

Neuro Doctor :

Is the pain constant in its severity, or the severity fluctuates?

Customer:

severity fluctuates but never goes away

Neuro Doctor :

Okay I see

Neuro Doctor :

Is there any particular position or activity makes it worse?

Customer:

not really however yesterday I was on my feet for a longer time and it was worse in the afternoon

Neuro Doctor :

Okay I see

Neuro Doctor :

Does coughing or straining worsens the severity of pain?

Customer:

no

Neuro Doctor :

Okay I see

Neuro Doctor :

Have you ever had this type of pain before?

Customer:

no

Neuro Doctor :

Okay I see

Neuro Doctor :

Is there any leg weakness?

Customer:

I don't think so

Neuro Doctor :

Okay I see

Neuro Doctor :

Have you tried anything else other than physio, massage or acupuncture?

Customer:

I have had some steroid tablets with not use and it does not respond the any type of pain medicine

Neuro Doctor :

Okay I see

Neuro Doctor :

Do you remember what meds you tried (other than steroid)?

Customer:

nurofen and panadol

Neuro Doctor :

Okay I see

Neuro Doctor :

I know you had CT scan & x rays, but have you had any MRI of the spine?

Customer:

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

Neuro Doctor :

Okay I see

Neuro Doctor :

You actually did the correct thing by asking MRI

Neuro Doctor :

CT scan & X rays can miss lot of things which can be easily picked by MRI

Neuro Doctor :

So ideally you need an MRI of the back

Neuro Doctor :

It will help in showing a disc, or other spine conditions that might have been missed on CT and x rays

Neuro Doctor :

The information obtained from the MRI will help in choosing the best treatment plan

Neuro Doctor :

If possible you may see a neurologist too

Customer:

Ok I will ask again do you have any idea what it could be and what pain relief would be best

Neuro Doctor :

Yes please ask for MRI again. Yes I will explain now

Neuro Doctor :

This could be some disc bulge

Neuro Doctor :

which can cause back pain

Neuro Doctor :

the numbness in the calf may be from a pinched spinal nerve

Neuro Doctor :

the MRI can show these

Neuro Doctor :

there may be other soft tissue problems in the back/spine

Neuro Doctor :

like certain ligament injury

Neuro Doctor :

or a tear in the covering sheath of the disc

Neuro Doctor :

all these things may be missed on CT scan or x rays

Neuro Doctor :

So MRI will help

Neuro Doctor :

I will now discuss the treatment options

Neuro Doctor :

Have you tried something called as nerve-pain pills? for example Gabapentin or Amitriptyline?

Customer:

no

Neuro Doctor :

Okay I see

Neuro Doctor :

So one of these pills could be an option

Neuro Doctor :

These pills help for the type of pain you are having

Neuro Doctor :

I will give more options

Neuro Doctor :

TENS is another option

Neuro Doctor :

TENS is Transcutaneous electrical nerve stimulation

Neuro Doctor :

It is a type of electrotherapy

Neuro Doctor :

It helps for the back pain

Neuro Doctor :

There is another type of electrotherapy called as Interferential therapy

Neuro Doctor :

It also can help for back pain

Neuro Doctor :

Have you tried the above electrotherapies?

Customer:

no

Neuro Doctor :

Okay so one of the above electrotherapies could be an option

Neuro Doctor :

Have you tried ESI (Epidural steroid injections)?

Customer:

no

Neuro Doctor :

Okay, then ESI could be an option too.

Neuro Doctor :

How about Traction therapy to the back?

Customer:

no

Neuro Doctor :

Okay then they can try some traction therapy too

Neuro Doctor :

These are some different options to help with your annoying back pain

Neuro Doctor :

The nerve-pain pills can help for back pain as well as the calf numbness too

Neuro Doctor :

You may insist on MRI with your Dr

Customer:

do you know if you can get the never pills over the counter

Neuro Doctor :

And please discuss about these treatment options

Neuro Doctor :

Did you mean whether these pills are over the counter?

Customer:

yes

Neuro Doctor :

Okay I see

Neuro Doctor :

Actually these nerve-pain pills are by prescription only

Neuro Doctor :

If you want over the counter then I will recommend another option

Customer:

yes

Neuro Doctor :

Have you tried any pain reliving skin creams so far?

Customer:

yes

Neuro Doctor :

Okay I see

Neuro Doctor :

There are not too many options as over the counter

Neuro Doctor :

The nerve-pain pills mentioned above are prescription pills

Customer:

OK I will ask the doctor for the MRI and the nerve pills and see how we go thank you

Neuro Doctor :

Yes please discuss about the MRI and the treatment options I mentioned above with your DR. You are very welcome!

Neuro Doctor :

I earnestly hope the above treatment options will help you.

Neuro Doctor :

Do you have any further questions?

Customer:

no thank you I hope things improve soon

Neuro Doctor :

You are very welcome! I wish you a quick and complete recovery, all the best!

Customer:

thank you cheers

Neuro Doctor :

Welcome! Cheers!

Neuro Doctor and other Neurology Specialists are ready to help you