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Neurology (Expert Forum)
Thigh Spascm excruciating pain, inability to stand.
Answered by
Lama Chahine, MD - Neurology
Cleveland Clinic
Cleveland - OH
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Thigh Spascm excruciating pain, inability to stand.
by newhealth, Jan 05, 2009 08:46AM
Thank you for taking the time to answer my question..
I am 50 year women, who excecising regularly. Bikram (Hot) Yoga. A few weeks ago, I injured my lower back and witnessed shooting pain down the front left thigh above the knee. The pain went away. However, yesterday I took one step and was unable to stand on my left leg. Last night and today, my thigh is still tremling/spasms. Lower back pain very mininmal, if none existant. Sitting helps the leg pain. However, the thigh spasms continue. I find when I bend over the pain subsides in my left leg abit, not entirely. Unable to lye down. Sitting up helps.
I have taken apirin to alleviate pain and does not work. My diet is poor, I will admit.
I am 50 year women, who excecising regularly. Bikram (Hot) Yoga. A few weeks ago, I injured my lower back and witnessed shooting pain down the front left thigh above the knee. The pain went away. However, yesterday I took one step and was unable to stand on my left leg. Last night and today, my thigh is still tremling/spasms. Lower back pain very mininmal, if none existant. Sitting helps the leg pain. However, the thigh spasms continue. I find when I bend over the pain subsides in my left leg abit, not entirely. Unable to lye down. Sitting up helps.
I have taken apirin to alleviate pain and does not work. My diet is poor, I will admit.
Doctor's Answer
by Lama Chahine, MD, Jan 07, 2009 07:47PM
, Jan 07, 2009 07:47PM
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.
Without the ability to examine you and obtain a history, I can not tell you what the exact cause of your symptoms is. However I will try to provide you with some useful information.
Your symptoms may be musculoskeletal in origin, due to a muscle or ligamentous strain. While I can not recommend medications for you, in general such conditions are treated with anti-inflammatory medications.
Another possible cause for your symptoms is radiculopathy (commonly known as a "pinched nerve"). The spinal cord is encased by bones called vertebra. Nerves start to form as they come off the spinal cord and exit through holes formed between the vertebra. If a nerve is compressed on as it exits through these holes, particularly in an area called the nerve root, a radiculopathy results. The compression could be due to arthritis of the spine or due to a herniated disc or other lesions. The symptoms include pain at the level of the problem (i.e. neck or back etc) and pain that may radiate (shoot) down the arm or leg (depending on where the problem is). In more advanced cases, muscle weakness or sensory symptoms such as tingling or numbness may occur. A radiculopathy is often diagnosed based on history, physical examination, and MRI of the spine.
I recommend that you be evaluated by your regular doctor/family physician. After he/she evaluates you, appropriate treatment, testing, and referral to a specialist will be determined.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
Without the ability to examine you and obtain a history, I can not tell you what the exact cause of your symptoms is. However I will try to provide you with some useful information.
Your symptoms may be musculoskeletal in origin, due to a muscle or ligamentous strain. While I can not recommend medications for you, in general such conditions are treated with anti-inflammatory medications.
Another possible cause for your symptoms is radiculopathy (commonly known as a "pinched nerve"). The spinal cord is encased by bones called vertebra. Nerves start to form as they come off the spinal cord and exit through holes formed between the vertebra. If a nerve is compressed on as it exits through these holes, particularly in an area called the nerve root, a radiculopathy results. The compression could be due to arthritis of the spine or due to a herniated disc or other lesions. The symptoms include pain at the level of the problem (i.e. neck or back etc) and pain that may radiate (shoot) down the arm or leg (depending on where the problem is). In more advanced cases, muscle weakness or sensory symptoms such as tingling or numbness may occur. A radiculopathy is often diagnosed based on history, physical examination, and MRI of the spine.
I recommend that you be evaluated by your regular doctor/family physician. After he/she evaluates you, appropriate treatment, testing, and referral to a specialist will be determined.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
