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Suggest Treatment For Severe Leg Pain And Spinal Stenosis

Posted on Tue, 9 Feb 2016

Question: I am experiencing moderate to severe leg pains(both) with it worse in the mornings. I have been diagnosed with spinal stenosis and recently underwent spinal injections which haven't help much if any. I have back problems but am wondering if it could be circulation or some kind of nerve related problem. My legs ache a little and just feel tired all the time.

Answered by Dr. Neeraj Kumar (2 hours later)

Brief Answer:
Get investigated as advised

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.

Pain and heaviness in lower limbs may be due to neuropathy or secondary to lumbar canal stenosis.
Neuropathic pain is usually associated with sensory loss, weakness, skin changes. However to make sure we don't miss neuropathy or other causes, I would order for blood sugar, liver function test, renal function test, vitamin B 12, vitamin D 3 and Nerve conduction study besides checking your peripheral pulses. This might help us isolating the cause.

Lumbar canal stenosis require surgical intervention if drugs are not benefiting.

I will suggest you get the aforementioned examination and neurologist done by a neurologist.

If you have MRI reports or images, upload it here.

Hope you found the answer helpful.
Do get back to me for further queries
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (11 hours later)

I forgot to mention that the pain/ache in my legs almost completely goes away when I sit down or lay down. Does that suggest that it is spinal stenosis or more neurological in nature?

Answered by Dr. Neeraj Kumar (11 minutes later)

Brief Answer:
Possibility of canal stenosis

Detailed Answer:
Hello,
Yes possibility of canal stenosis is more if pain increase on standing, walking and improves on rest and supine position.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (5 hours later)

I also forgot to mention that the pain started shortly after starting stations. I immediately stopped taking them but the pain hasn't subsided. I read a lot about stations causing pain. Do you think that could be a factor?

Answered by Dr. Neeraj Kumar (8 hours later)

Brief Answer:
Clarify regarding stations

Detailed Answer:
Hello,
please specify which drug or compound you mean by station.
Regards
Dr N Kumar

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (17 hours later)

Sorry..It is a statin. I don't have the bottle here. I think it is like Creator.

Answered by Dr. Neeraj Kumar (15 hours later)

Brief Answer:
Continue treatment as advised

Detailed Answer:
Hello,
Yes, statin can cause muscle pain but it improves on discontinuation.
Take treatment as advised.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar