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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Lower Back And Swelling In The Legs?

Hi , I ve got lower back pain , neck ache pins and needles in my bum area legs and feet, I can t walk like normal I m walking by taking very small steps, my legs seem swollen and feel tight , today I noticed my left knee cannot bend properly, I ve been like this for 7 weeks now , the doctor want me to have phyiso but he thinks I ve slipped a disc and wants a MRI scan done , I had one 5 weeks ago but didn t show a slipped disc but 2 were worn , the pain killers aren t helping, hope you can
Mon, 21 Aug 2017
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General & Family Physician,  's  Response
Hello
I understand your concern.

The symptoms are due to pinched nerve caused to osteoarthritic degenerative changes in lumbar and cervical spine.
Swelling in both legs may due to associated venous insufficiency.
Along with MRI spine,also undergo test called colour doppler of peripheral circulation.
Pain Relief can be obtained by narcotic analgeics and muscle relaxants if the routine pain killers havent helped you.For the neuropathy,you may be given gabapentin drug.Local injection of steroid at spinal area may be opted for severe symptoms.you need to consult orthopaedician in this regard.
Muscle stretching and strengthening exercises and diathermy with consultation from physiotherapist may give you some relief.
In non responding cases,surgical options will have to be considered
Avoid bending at waist area.Have brace for neck to get support.
Always keep your lower back and neck supported while sitting in chair.
Avoid prolonged abnormal postures of back and neck.

Hope this information helps.
Any further query is welcome.
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What Causes Pain In The Lower Back And Swelling In The Legs?

Hello I understand your concern. The symptoms are due to pinched nerve caused to osteoarthritic degenerative changes in lumbar and cervical spine. Swelling in both legs may due to associated venous insufficiency. Along with MRI spine,also undergo test called colour doppler of peripheral circulation. Pain Relief can be obtained by narcotic analgeics and muscle relaxants if the routine pain killers havent helped you.For the neuropathy,you may be given gabapentin drug.Local injection of steroid at spinal area may be opted for severe symptoms.you need to consult orthopaedician in this regard. Muscle stretching and strengthening exercises and diathermy with consultation from physiotherapist may give you some relief. In non responding cases,surgical options will have to be considered Avoid bending at waist area.Have brace for neck to get support. Always keep your lower back and neck supported while sitting in chair. Avoid prolonged abnormal postures of back and neck. Hope this information helps. Any further query is welcome.