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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Lumbar Pain?

hi! have been having lower lumbar issues. my right leg has been tingleing with a little numbness. at night there is a little pain which wakes me up at night until I reposition it. I brought it to the attention of my diabetes specialist. with my age(53) she said possibly calcium buildup around one of my nerves that run through my spinal cord and when inflamed causes the lower lumbar pain and leg pains? she says that the ibprofan that I was taking can raise my numbers of my kidneys. and to take tylonal for the inflammation? your thoughts Thanks Alan
Thu, 30 Jun 2016
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General & Family Physician,  's  Response
Hi there!
Yes your Diabetes specialist is absolutely right in that Ibuprofen and other NSAIDs are not recommended in Diabetics.
Your symptoms since they're on 1 side is most likely to arise from one of your Spinal nerve roots impinged by a part of your Spine, commonly known as a slipped disc.
It is mostly seen in people above 50yrs of age and is fairly common. The problem is that the pain is worse and more difficult to control in Diabetics.

Start with an Xray of the LumboSacral spine - of it shows anything then you can consult a Physiotherapist and take appropriate measures.
If Xray doesn't pick up anything, MRI of the Spinal cord helps.

For the pain , if not controlled by Tylenol - Pregabalin 75 mg twice a day for the first 2 weeks and then once a day at night should help. Needs a week to start showing effects. This can cause drowsiness and so i would advice you to avoid driving and operating heavy machinery for the first few days.
If it doesnt work - small doses of Amitryptiline or Nortrytilline is helpful.

Avoid lifting heavy weights.
Take care. Hopefully this helps.
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What Causes Lower Lumbar Pain?

Hi there! Yes your Diabetes specialist is absolutely right in that Ibuprofen and other NSAIDs are not recommended in Diabetics. Your symptoms since they re on 1 side is most likely to arise from one of your Spinal nerve roots impinged by a part of your Spine, commonly known as a slipped disc. It is mostly seen in people above 50yrs of age and is fairly common. The problem is that the pain is worse and more difficult to control in Diabetics. Start with an Xray of the LumboSacral spine - of it shows anything then you can consult a Physiotherapist and take appropriate measures. If Xray doesn t pick up anything, MRI of the Spinal cord helps. For the pain , if not controlled by Tylenol - Pregabalin 75 mg twice a day for the first 2 weeks and then once a day at night should help. Needs a week to start showing effects. This can cause drowsiness and so i would advice you to avoid driving and operating heavy machinery for the first few days. If it doesnt work - small doses of Amitryptiline or Nortrytilline is helpful. Avoid lifting heavy weights. Take care. Hopefully this helps.