Recently Answered Questions
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I am a 70-year-old and suffer from severe sciatica despite taking medications. Why?
Query: Hello doctor,I am a 70-year-old and suffer from severe sciatica. I had a round of steroids but did not get much relief, I can barely walk. They want to do surgery. I have not even spoken with the surgeon just his PA, my PCP (Phencyclidine or phenylcyclohexyl piperidine) is for pain management. It ha... Read Full »
Dr. Florilyn Joyce Chulsi Bentrez
Answer: Hello, Welcome to icliniq.com. I suggest it is good that you have someone help you with the chores. There are certain chores that would need twisting and forward bending and carrying. All these would not help your back. Have you got a spine MRI done already? How about calcium and vitamin D levels? S... Read Full »
Please help me deal with sciatica in both my legs.
Query: Hi doctor,I am dealing with sciatica in both legs. I have a burning sensation with tingling and sharp shooting pain in both legs. I am feeling hard to stand for a long time. I got a sciatic flareup due to a slip in a fall accident. It happened six years back. I was diagnosed with lumbar facet syndro... Read Full »
Answer: Hi, Welcome to icliniq.com. You need to understand the physiology of facet joints. It helps to have healthy movement and intervertebral disc provides stability for each motion segment. Aging, osteoporosis, and traumatic injury can damage facet joints and it is the leading cause of back pain. It is... Read Full »
I have severe pain in the right buttock. Why?
Query: Hello doctor, I am having pain in the right buttock and also pain below upper leg and below knee. I feel uncomfortable while sitting, standing as well as walking. First I met a general surgeon; he examined me and advised me to go to an orthopedician. Orthopedician took x-ray and blood test. He info... Read Full »
Answer: Hello, Welcome to icliniq.com. Celecoxib is just for pain relief. In order to understand your condition, I want you to answer a few questions for me. Is the pain radiating in nature? Or dull aching without any radiation? Do you have any record of examination findings? Is there any ar... Read Full »
I have muscle spasms and was diagnosed with sciatica but none of the treatments helped. Kindly help.
Query: Hello doctor, I have muscle spasms and the doctor diagnosed me with sciatica. I have been through chiropractic therapy and had one round of neck injections last year which did not help much. No doctor has ever explained to me what this all means and who to seek further treatment from. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. I studied your MRI reports (attachment removed to protect the patient's identity) and found there is a disc prolapse at multiple regions in your spine. When pain lasts longer and irritates the patient, then the ps... Read Full »
How can severe radiating back pain be treated?
Query: Hello doctor, My 65-year-old grandmother has been suffering from chondrosis and she has had the treatment her doctor recommended her. However, the pain has returned. Her doctor told her to do some injections. Also, before that, she had a treatment where she did massages, ultrasound procedures but th... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. From what you have mentioned, most probably your mother has sciatica which means that there is a compression of the nerves of her legs. Sciatica causes back painthat moves to one of the legs sometimes both (electric like). It is diagnosed with some physical examinati... Read Full »
What are the causes of pain radiating from the hip to toe?
Query: Hi doctor, My mother is 43 years old and she was diagnosed with rheumatoid arthritis three months back. She has a serum uric acid level of 4.3 mg/dl and an RF IgM antibody of 132.1 units/ml. Her treatment was started by taking Defcort 6 mg for a week, Methotrexate 15 mg for three months, HCQS 200... Read Full »
Answer: Hi, Welcome to icliniq.com. Pain radiating from hip to toe occurs due to sciatica and it does not occur due to rheumatoid arthritis. Your mother needs to take nerve suppressing painkillers and physiotherapy. Regarding other joint pains, we need to rule out the cause after having a detailed history... Read Full »
From the MRI, kindly explain the severity of my low back pain.
Query: Hi doctor, I have low back pain, spasms, leg weakness, and neuropathy. I had an exacerbation five years before, and the current one is severe. I had MRI and blood tests. The reports are enclosed here. Read Full »
Answer: Hi,Welcome to icliniq.com.Your problem is sciatica, but it has not yet progressed to a severe stage.At this stage, you need rest and the following treatment. Consult your specialist doctor, discuss with him or her and take treatment with consent.Tablet Aceclo SR (Aceclofenac) as needed, do not use c... Read Full »
What can be used instead of Arimidex in patient with breast cancer surgery history?
Query: Hello doctor,My wife underwent breast cancer surgery a year back. She was then prescribed Arimidex 1 mg tablet daily. She developed sciatic neuralgia which made bending and walking extremely painful. The ayurvedic doctor who cured her ascribed it to Arimidex which robs calcium of bones.Can you recom... Read Full »
Answer: Hi, Welcome to icliniq.com. Sciatica is usually due to local compression over the nerve supplying legs like the one with disc prolapse. Arimidex (Anastrozole) is a hormone used for the treatment of breast cancer and can cause diffuse bone loss. That is why we give calcium and Vitamin D with these ... Read Full »
What is causing my leg pain - dropped bladder or sciatica?
Query: Hello doctor,I am a 79-year-old female with a dropped bladder that could be causing a lot of pain in my left leg, but I also have sciatica. The lower parts of my legs have a stinging and pain feeling quite often. I have been to the gynecologist and was told that there is no connection between the tw... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concern. I agree with your physician that your bladder issue has no relation to the pain in your legs. Most likely, it is due to sciatica. Management of sciatica includes weight reduction, local painkiller creams, Vitamin B 12, Pregabalin tablets,... Read Full »
Could you tell me the underlying cause for sciatica?
Query: Hi doctor, I have been recently diagnosed with sciatica. I have some difficulty in walking. I am having Tramadol and Paracetamol for pain relief but they are not helping much. Could you tell me the underlying cause? Will I require a walking aid? Read Full »
Answer: Hi,Welcome to icliniq.com. As you must be aware by now, sciatica is a term used when a person experiences radiating leg pain due to some pressure on the nerves. Assessment will include intensity of back pain, intensity of leg pain, the distance you walk without any requirement of analgesic and deta... Read Full »