Severe back pain, difficulty in sleeping, severe pain while standing. Remedy?
Patient: hi i have severe back pain which runs down to my ankle,i had an exray plus m,r,i nothing showed up, i cant sleep at night ihave to walk with crutches go down stairs on my bottom i feel no pain when i am stooped almost to the ground when i stand up straight the pain is excrusiating and a pull  from my right leg numb r big toe Doctor: Hi,Thanks for posting your query.From description it seems you might be suffering from siatica. Sciatica refers to pain that radiates along the path of the sciatic nerve — which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body. Although the pain associated with sciatica can be severe, most cases resolve with just conservative treatments in a few weeks.MRI is needed to establish the cause of sciatica, so that appropriate treatment can be prescribed. Sciatica do respond well to bed rest and analgesics (pain killer) and is right mode of treatment. The definitive treatment depends upon the cause of sciatica. I would suggest you to consult an orthopediac surgeon who may order MRI to determine cause of sciatica (level and degree in case of disc herniation) and may suggest other mode of treatment. After initial few days of bed rest, you needs physiotherapy (exercises).Hope this will helps you. Feel free to ask me if you have any further queries. Wish you good health. Take care.Regards.Dr Saurabh Gupta.Orthopaedic Surgeon.