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I am experiencing pain on both thighs and in the lower back.

Customer Question
I am experiencing pain...

I am experiencing pain on both thighs and in the lower back. When I stand, my legs hurt more and I feel the pain right above the buttock. if I stand for long period, I feel weakness.

Doctor's Assistant: Have you had any recent injuries? What seems to make the pain better or worse?

I have fallen but not recently. I will the pain in the back of the thigh especially when standing. I can walk and it hurts a little but standing for long periods makes me feel like I am going to lose balance.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Hypothyroid, Vitamin D def. Cervical Hernia, Thoracic bone spur. BC survivor. Pre-Diab. i have had this before but now it's worse.

Submitted: 9 months ago.Category: Health
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Answered in 3 minutes by:
7/31/2017
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 9 months ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 38,116
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 9 months ago

Your symptoms are suggestive of pinched nerves in back.

This can be due to;

1) Herniated/degenerated disc in back

2) Lumbar spondylosis; bone spurs in the back vertebrae pressing on the nerves.

Following investigations would be required;

1) X-ray of the lower back

2) MRI of the spine

3) Nerve conduction velocity (NCV) study

4) Electromyography (EMG)

Following measures would be helpful;

1) Back care in the activities of daily living, which is an integral component of the treatment of back problems. Back education is one of the most important thing which teaches the basic body mechanics, like correct posture for standing, standing at a desk or drawing board, sitting, brushing teeth, washing the face, pushing and pulling a weight, lifting a weight, getting in and out of bed, sleeping, getting into and sitting in a car. The training for these routine activity helps in preventing the spasm of the muscles. One needs to consult an occupational therapist or physical therapist which can educate about the proper and improper behaviors when back is painful in case they have to sit, bend forward, lie down, walk, cough, or sneeze. Following more need to be done:

a) Avoid activities which increases the pain.

b) Rest intermittently

c) Avoid bending at 90 degrees

d) Pushing and pulling should be avoided till pain subsides

f) Avoid prolonged sitting and standing

g) Avoid sitting or sleeping on floor

2) Anti-inflammatory analgesics like ibuprofen, other analgesics and muscle relaxants

3) Good supervised physiotherapy: The exercises consist of abdominal bracing, modified sit-ups, double-knee-to-chest or low back stretches, seat lifts, mountain and sag exercises, knee-to-elbow exercises, hamstring stretches, extension exercises, and extension flexibility exercises. Swimming exercises (pool exercises) are best for back pain. Initial stretching and later strengthening exercises are taught.

4) Acupuncture

5) Electrotherapy like trans cutaneous electrical nerve stimulation: done by physical therapist. Other thing are ice packs, heating pads, electrical stimulation, phonophoresis, iontophoresis, relaxation, and biofeedback.

6) Lumbosacral corset or support or brace

7) If obese or over weight, reduce weight for long term benefit.

8) Epidural steroid shots.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 9 months ago

Was this information helpful to you? I would be glad to answer any further questions.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.
Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

The rating button is on the left upper side of this thread.

Thank you.

Wishing you all the very best in life.

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