Sciatica L5 S1 low backpain radiation to right leg - #11493
Am a diabetic. Had lowback pain in 2011,L5 S1 disc bulge treated with Ayurveda. Recurredin2018.Same proceduretreatment.2025Same problem right tigh calf muscle radiating pain.Numbnessin right foot.burning sensation on top layer. Sugar fasting 130 pp.195.sameAyurvedatreatment didn't cure fully. Taking vit.d3 and methylcobalmin 1500.mcd.. Still pain on leg continues.. Any advice plsš
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Doctorsā responses
1. Sciatica with L5āS1 disc bulge can cause radiating pain, numbness, and burning your symptoms fit this pattern.
2. Since pain has recurred despite Ayurvedic treatment, further evaluation with MRI spine is advisable.
3. Strict diabetic control is important because high sugars worsen nerve pain and healing.
4. Physiotherapy with specific exercises, posture correction, and avoiding heavy lifting are crucial in long-term relief.
5. If pain or numbness worsens, consult an orthopedician/spine specialist for medical or interventional options.
Your symptoms of low back pain and radiation to the right leg suggest sciatica likely due to an L5-S1 disc issue, which can cause pain, numbness, and burning sensations. Given your history of diabetes and the recurrent nature of these symptoms, itās essential to consider both degenerative disc disease and diabetic neuropathy as contributing factors. The Ayurvedic treatments appear to have provided limited relief, so exploring other evidence-based options may be beneficial. First, consult a healthcare professional like a neurologist or orthopedist to assess the severity of the disc bulge with MRI imaging. This will determine if thereās nerve root compression requiring physical therapy or surgical consultation. Pain management includes analgesics like NSAIDs or, if needed, stronger medications prescribed by your doctor. Physical therapy exercises strengthen supporting muscles. Lifestyle adjustments such as weight management and ergonomic posture help long-term. For the diabetic neuropathy, maintaining optimal blood glucose levels is key. Your fasting and postprandial sugar levels suggest some room for improvement. Discuss possible medication adjustments or dietary changes with your endocrinologist. Supplementing with Vitamin D3 and Methylcobalamin seems appropriate, but include these in a comprehensive plan overseen by your doctor. If symptoms like weakness or loss of bladder control appear, seek urgent evaluation as these may signal more severe nerve issues. Continuing with a multidisciplinary approach, balancing medical interventions and self-care, will likely yield better results.
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