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50 something male

Left severe aching low back pain which radiates all the way down outer leg stopping just before the toes, but no needles/shooting

Background, had disabling accident 14 yo with neck surgery and lower back problems.

Been going to same Pain Management Dr for 12 years for injections, nerve burn, etc.

About 2 weeks ago, woke up from a nap with a moderate pain in lower back on the left side (near L4/L5 SI area I think) it felt like a bad bone bruise on my L 4 or 5 or SI ? Along with outside left buttocks and thigh pain.

I tried to walk it off thinking I laid wrong. In a few hours later the severe aching pain also radiated to the outer side of the leg, inside the top of ankle joint, and top of foot, but skipping knee. Big and adjoining toes intermittently go numb, but no toe pain. can't stand or walk on left heel and hard to raise big toe off of floor when standing. Worse pain at outer leg, ankle joint, top of foot. Sitting, bending forward or extending leg is agony.

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replied July 16th, 2014
Back Pain Answer A48315
Thank you for asking
You are giving a classic presentation of sciatic nerve compression aka sciatica and your history of lumbar and cervical vertebral interventions and a history of a trauma makes the odds for that more you need to go back to your pain doctor and let them have a look at the extent of compression and devise the management plan accordingly. As you already had a lot upto epidurals I am sure you will need some thing like that again in concomitant to physiotherapy and some posture modifications. It would be slow and steady process. Seek an orthopaedic spine specialist for further information.
Visit our health centre for further guidance.
Take care

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