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Neurology (Expert Forum)
Mid back pain and strange sensations in legs
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Mid back pain and strange sensations in legs
by Joyfulh, Mar 11, 2005 12:00AM
Have had pain in mid back for about a year. Burning pain like a tight band across mid back. Hurts into my ribs, especially on the right side. Have had a normal MRI of spine, physical therapy, etc., and still having pain every day. Pain also goes around to stomach, especially at night. This past week am having a sensation of heat in my right front of leg from the knee to the ankle that comes and goes. Am feeling very helpless about the pain. It never goes away and sometimes makes me feel generally achy all over. Can you suggest some type of alternative treatment that would help this pain?
Doctor's Answer
by CCF-Neuro-M.D.-PW, Mar 14, 2005 12:00AM
I cannot give you any definite diagnosis over the internet
If your MRIs have been normal, then any structural lesion of the spine ie discs, lumbar stenosis is unlikely.
Pain that radiates from the back around to the stomach, that followed the distribution of the sensory nerve in that region, can be caused by a herpetic infection, even in the absence of the classic herpetic rash (shingles)
Pain medication that targets nerve pain (ie neurontin, pregabalin), may then be more effective than other pain meds
(There is no role for treatment of the infection unless started in the first 2 weeks of the symptoms.
I am not sure what the heat sensation in your thigh is - there is a nerve that supplies the skin there that commonly gets compressed or pinched ('meralgia paresthetica')
Other chronic pain options such as nerve stimulators, rhizotomy etc (cutting the sensory nerve) can be explored with a specialist at the Cleveland Clinic Pain Center, a national center of excellence for the treatment of chronic pain.
If your MRIs have been normal, then any structural lesion of the spine ie discs, lumbar stenosis is unlikely.
Pain that radiates from the back around to the stomach, that followed the distribution of the sensory nerve in that region, can be caused by a herpetic infection, even in the absence of the classic herpetic rash (shingles)
Pain medication that targets nerve pain (ie neurontin, pregabalin), may then be more effective than other pain meds
(There is no role for treatment of the infection unless started in the first 2 weeks of the symptoms.
I am not sure what the heat sensation in your thigh is - there is a nerve that supplies the skin there that commonly gets compressed or pinched ('meralgia paresthetica')
Other chronic pain options such as nerve stimulators, rhizotomy etc (cutting the sensory nerve) can be explored with a specialist at the Cleveland Clinic Pain Center, a national center of excellence for the treatment of chronic pain.
