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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
7 days ago
51

What to do for severe leg pain and numbness from a slip disc in a 41-year-old woman? - #29800

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

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
7 days ago
5

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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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
6 days ago
5

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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