How to treat back and leg thigh pain with high WBC?

Question

Hello doctor,

I am a 37-year-old female. I previously asked a query in icliniq and was attended by a doctor who advised as follows.

Since all your reports are normal except for very mild anemia and a mild increase of WBC count, then the cause of your lower back pain that extends to your hip, thigh, and knees could be either sciatica or lumbar disc prolapse. This should be diagnosed by a CT scan of lumbar vertebra. You also need an x-ray of your hip joint to exclude osteoarthritis. For the anemia, you should take iron and folic acid supplements for a month. Last month I had pain in my legs, thighs, lower knees and in my back. I met an orthopaedician and find nothing wrong with the knee joint, PBH and lumbar spine. My USG abdomen and pelvis are also clear.

Now my blood pressure remains high. I am feeling pain in my back, thighs, and legs below my knees. And I am feeling very weak. As per my last report, my WBC is high and hemoglobin is low (report attached).

Currently, I am taking Ultra -D3 10000 IU once in a day, Fludac 20 mg capsule twice a day, Gemcal once in a day, Stamlo-5 twice a day.

Answer 1

Hello,

Welcome to icliniq.com.

After revising your x-rays (attachment removed to protect patient identity), it seems that you have degenerative changes in your knee joint and in your spines with diminished disc space between lumbar vertebra number 5 and spinal vertebra number 1.

These degenerative changes actually indicated the presence of osteoarthritis which is a chronic progressive disease of joints. Treatment aims at stopping the progress and managing the symptoms, it should include analgesics and anti-inflammatory medications, corticosteroids, physiotherapy that should include stretching to improve flexibility and mobility of joints and excercising as well.

As for your blood pressure, you should start a strict salt-free diet and monitor your blood pressure for 10 days, if still high then you will need an antihypertensive medication.