Lower Back and Thigh Pain: When to Seek Medical Help - Rehabilitation

More Info

---

When experiencing lower back and thigh pain, especially after prolonged sitting, standing, or movement, it is essential to understand the potential underlying causes and when to seek medical help. Your symptoms, which include pain in the lower back and left thigh, along with weakness or soreness in your arms, could be indicative of several conditions, particularly given your history of sciatica and bone spurs.

Firstly, it is important to recognize that lower back pain can stem from various sources, including muscular strain, spinal issues such as herniated discs, or nerve compression. Given your previous diagnosis of scoliosis and sciatica, it is possible that these conditions could be contributing to your current symptoms. Scoliosis can lead to uneven distribution of weight and stress on the spine, potentially causing pain and discomfort in the back and legs.

The fact that you have undergone rehabilitation in the past and experienced improvement suggests that physical therapy can be beneficial. However, if you are not seeing improvements with your current rehabilitation efforts, it may be time to reassess your treatment plan. Consulting with a physical therapist who specializes in spinal issues could provide you with tailored exercises and treatments that address your specific needs.

Regarding the fatigue, chest tightness, and the need for deep breaths, these symptoms warrant immediate attention. While they could be related to stress from work and family responsibilities, they could also indicate a more serious condition, such as cardiovascular issues or anxiety. It is crucial to discuss these symptoms with a healthcare provider, as they may require further evaluation, including a physical examination and possibly diagnostic tests like an EKG or chest X-ray.

In terms of which specialist to consult, it may be beneficial to start with a primary care physician who can evaluate your overall health and direct you to the appropriate specialist. If your primary care physician suspects that your symptoms are related to your spine or nerves, they may refer you to an orthopedic surgeon, a neurologist, or a rehabilitation specialist. Each of these specialists can provide insights into different aspects of your symptoms:
1. Orthopedic Surgeon: They can assess structural issues with your spine and joints, including scoliosis and any potential need for surgical intervention.

2. Neurologist: If nerve involvement is suspected, a neurologist can evaluate for conditions such as radiculopathy or other nerve-related issues.

3. Rehabilitation Specialist: They can focus on physical therapy and rehabilitation strategies to improve your function and reduce pain.

In summary, given your symptoms and history, it is advisable to seek a comprehensive evaluation from a primary care physician first. They can help coordinate your care and ensure that you receive the appropriate referrals based on your specific needs. Additionally, addressing your fatigue and chest discomfort is crucial, as these could indicate underlying health issues that require immediate attention. Remember, early intervention can often lead to better outcomes, so do not hesitate to seek help.