Soldier,
First let me say that I too, appreciate all that you are doing.
As for your PA, your PA needs to go back to school and properly learn what he/she did not learn while in training to be a PA.
What you describe is nerve compression in your lumbar spine, and I can tell you this, it is not an uncommon problem that has been developing in many of our military from the weight of what they have to carry with them in Iraq.
I've personally known several members of the armed forces that have returned from Iraq with this problem.
What the diagnosis is, is nerve compression and to determine the cause requires testing with MRI's to start with and being properly diagnosed by a spinal specialist.
It could be from a disc problem in your lumbar spine that is causing compression on the nerves, which is the most common cause and most likely.
The meds that the PA are not going to help you with nerve pain, that burning, stinging, numbness going down your leg.
They do not help nerve pain.
What will help is a nerve pain medication, Neurontin or Lyrica and it takes some time for those to start working. You start on a low dose and slowly build up the dosage until you get pain relief.
Your leg and pain will not get any better without finding out what the cause is and getting treatment for it.
What will happen is it will get worse and worse, until the point that you will be walking or moving around and your leg will cave in from under you and you will land on the ground.
It truly is shocking and very, very scary that the PA you saw, believes that what you told him is not possible and has put you on medications that could very well cause you your reflexes and responses to be diminished, thereby putting both your life and your those of the soldiers with you in serious danger.
It is also shocking that you are being told what you are and not being properly treated. That can put your life in danger, not only in a war zone, but also your life period.
It is possible that continued nerve compression can cause permanent nerve damage. No one can tell you how long that will take to happen. All of us our individuals and sometimes it can happen quickly and other times it can take years and years to happen.
I happen to be one of those that the damage started to develop very quickly, over a period of 4 months, but was reversed with surgery.
If this PA will not listen to you, properly treat you, there has to be a way to go above this PA and see a doctor that really knows something about medicine and nerve compression.
Good luck, try to stay safe and I will be praying for you and all our military in harms way.
Fran