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What to do for severe leg pain and numbness from a slip disc in a 41-year-old woman?
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Bone and Orthopedic Conditions
Question #29800
91 days ago
269

What to do for severe leg pain and numbness from a slip disc in a 41-year-old woman?

Client_38aad9

41-year-old female, slip disc, severe leg pain from thigh to foot, numbness, weakness, difficulty walking, bladder control issue

How long have you been experiencing these symptoms?:

- 1-4 weeks

How would you rate the severity of your leg pain?:

- Very severe — unbearable

Do you experience any other symptoms besides leg pain?:

- Numbness or tingling

What activities make your pain worse?:

- Standing or walking

Have you tried any treatments for your condition?:

- Physical therapy

How is your bladder control issue affecting you?:

- Inability to control at all

Has there been any recent injury or incident that caused the slip disc?:

- No, it developed gradually
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Doctors' responses

Hello This is not a routine slip disc anymore—the combination of severe leg pain, constant numbness, weakness, difficulty walking, and bladder urgency strongly suggests possible nerve compression (like Cauda Equina Syndrome or severe lumbar nerve root compression), which is a medical emergency.

She should go to the nearest hospital immediately (preferably with MRI facility and spine specialist). Do not wait or continue only physiotherapy. Urgent evaluation, usually with MRI, is needed, and treatment may require emergency surgery to relieve pressure on the nerves to prevent permanent damage (including loss of bladder control or paralysis).

Until she reaches care: avoid bending, lifting, or walking unnecessarily, lie flat on a firm surface, and do not delay seeking help.

Take care

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Hello dear See as per clinical history it seems presence of Infection Minor injury or trauma Ligament tear Minor fracture Iam suggesting some tests Please share the result with both urologist and orthopedic surgeon in person for better clarity Cbc Esr Knee x ray Cervical spine x ray Mri Ct scan X ray back USG bladder

Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Urine analysis Urine culture Kidney USG Hopefully you recover soon Regards

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These symptoms from a slipped disc—specifically with leg pain radiating from the thigh to the foot, numbness, weakness, and difficulty walking—suggest nerve impingement that may be affecting the sciatic nerve. The urgency here is highlighted by the bladder control issues, which raises concern for conditions like cauda equina syndrome. It’s crucial for you to consult a healthcare provider immediately, as this can be a medical emergency requiring urgent surgical intervention to prevent permanent damage. In the meantime, avoid activities that exacerbate the pain—like heavy lifting or twisting movements—for temporary self-care. Non-steroidal anti-inflammatory drugs (like ibuprofen) can offer short-term relief, but they won’t address the root cause. Physical therapy could be a follow-up action post-assessment to regain strength and flexibility, under professional guidance. A healthcare provider may also consider imaging studies, such as an MRI, to understand the exact nature and severity of the disc herniation. Remember, prioritizing evaluation to rule out or confirm serious conditions is essential here to prevent complications.

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