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Numbness in legs / Upper Back Pain
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Numbness in legs / Upper Back Pain


  I am a 37yr old Male. In August I fell backwards over sons skateboard,
  landing hard on buttocks and back. I experienced immediate intense pain.
  After a couple of days I saw my primary care Dr. Explained symptoms:
  numbness in both outer thighs which extends into both knees when laying
  on either my back or sides, constant tingling sensation in both legs which
  radiates into both feet (its worse when I stand or sit for more than 5mins)
  also complained of sever pain in upper back.
  Primary care referred to orthopaedic surgeon. Orthopaedic surgeon requested
  MRI. Finding 1.bulging @ L4,L5   2. slight/moderate compression @S1
   3.wedging in mid thoracic  4.significant spuring mid/upper thoracic.
  Orthopaedic Surgeon initially suspected possible fracture of S1, subsiquent
  Bone Scan revealed no marked uptake in this region.
  His diagnosis: Acute Contusion Sprain of Midthoracic
  Prescribed PT. Went for approximately 4wks with negative results. returned to
  Orthopaedic Surgeon on 10/12/98. Indicated same complaints constant numbness
  in outer thighs,constant tingling sensation in both legs and feet which gets
  worse when standing or sitting for more than 5 minutes, And still suffering
  severe pain in upper back region.
  I would appreciate any help or suggestions you may have.
  Thank you for your help.
  David.  
=============================================================================  
Hi David,
The fact that your symptoms are  occurring in both legs tends to rule out the
common prolapsed disc type of cause , and suggests that the spinal cord
itself is compromised, possibly at the higher level where the spurring is
noted.
You require a comprehensive neurological evaluation which will focus on the
exact nerve territories involved in your symptoms, and which looks for
evidence of cord compromise above the lumbo-sacral nerve roots, things like
increased tone in the legs, reflex changes and possibly a level on your
trunk at which there might be subtle sensory changes would all be signs to look for.
Since there is no gross bony abnormality you should be looking for more
subtle problems and a neurologist may the the best person to see at this
stage. Further non-imaging testing may also be necessary including possibly
an EMG which could pin-point the precise nerves involved in the process.






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