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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Pain In The Upper Thigh Indicate?

I m a 58 year old woman and I paint for a living and Ive been having severe leg pain starting at the upper thigh and works it way down my leg and its usually all day,Ive had a plate put in my neck to replace 2 dics and know my L4 is starting to give so I don t know if that has anything to do with it or not would really appericate some help if you can! Thank you
Wed, 6 Jun 2018
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Anesthesiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Your guess is right.your pain appears to be of lumbar origin, in other words,due to lumbar disc degeneration or swelling.this causes impingement mostly temporary on the nerves(especially sciatic nerve) at the cord that leads to pain.but please don't worry as its very common and treatable.the following are the guidelines of treatment :

1) First and foremost is rest for at least 10 days.
2) Lifting heavy weights,strenuous activities,abnormal postures are to be avoided.
3) NSAIDs like Ibuprofen can be taken along with muscle relaxants like Thiocolchiside or Chlorzoxazone twice daily for 5 days.
4) Tab.Pregabalin once daily only at night before sleep for 15 days is recommended.
5) Vit B12,B6,folic acid and other neuro-regenerative supplements are also helpful.
6) After your pain gets better,you can see a physiotherapist for some back muscle (paraspinal muscles) strengthening exercises.

Hope I have answered your query. Let me know if I can assist you further.
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What Does Severe Pain In The Upper Thigh Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your guess is right.your pain appears to be of lumbar origin, in other words,due to lumbar disc degeneration or swelling.this causes impingement mostly temporary on the nerves(especially sciatic nerve) at the cord that leads to pain.but please don t worry as its very common and treatable.the following are the guidelines of treatment : 1) First and foremost is rest for at least 10 days. 2) Lifting heavy weights,strenuous activities,abnormal postures are to be avoided. 3) NSAIDs like Ibuprofen can be taken along with muscle relaxants like Thiocolchiside or Chlorzoxazone twice daily for 5 days. 4) Tab.Pregabalin once daily only at night before sleep for 15 days is recommended. 5) Vit B12,B6,folic acid and other neuro-regenerative supplements are also helpful. 6) After your pain gets better,you can see a physiotherapist for some back muscle (paraspinal muscles) strengthening exercises. Hope I have answered your query. Let me know if I can assist you further.