Severe pain in the back. Difficulty inn walking and coughing. Prescribed with antacid and diclofenac. Pain radiating to legs. Is this sciatica pain?
Patient: hi there i been having a massive pain starting from the lower lumbo saccral region i cant sit for long since sunday night all of a sudden. neither i can walk properly and micturation is very difficult including coughing. i have seen a surgeon he has given me antacid and diclofenac twice daily...the pain has subsidized as off now till the effect of painkillers but if i stop taking them the pain resurfaces back again although not like the one i had 3 days before but its like a chronic pain and it goes down the legs?has been advised a week of complete bed rest . just want to know is it a sciatica pain? Doctor: Hi,  Thanks for posting your query. You are most likely suffering from prolapsed intervertebral disc or cauda conus syndrome. Do you have radiating pain in lower limbs/ weakness in lower limbs? You should consult with orthopedic surgeon/ neurosurgeon and should go for x ray lumbo-sacral spine as  preliminary investigations. You should also go for CT/ MRI scan  lumbo-sacral spine for better clarification. You should do strict bed rest. You should take pain killers with serratiopeptidase and chymoral forte for reducing swelling. You should stop sitting & lying down  on floor. If not treatable with medicines then you should go for surgery. Take care,  Dr. Mayank Bhargava