Hi doctor, I am a 46 year old woman with dull pain in left leg and heat sensation in left foot, which is on and off throughout the day. The problem has been there for the past two to three weeks. I do not recall any injury, which could have led to this problem. It just started suddenly. The heat sensation lasts only for one or two seconds. But, it happens even when I move slightly and there is no such problem on resting. I also have early morning back stiffness for so many years. Please advice on the cause and the remedy for the problem.
Hi. You have mentioned heaviness in your left leg along with burning sensation, which we call as paresthesia. Also, you have mentioned that you have back stiffness since many years. So, I presume that there could be some nerve impingement and that may be causing these symptoms in your case. Can you tell me whether you have any associated numbness, weakness, etc., in the affected extremity? Also, how much distance can you walk before you start feeling these symptoms? Do you have any associated history of fever, loss of weight, appetite, etc., as well? I can advise you better if I can have an idea about your neurological examination like assessment of motor power, sensory examination. Also, I would like you to get x-ray lumbosacral spine AP (anteroposterior) and lateral (flexion and extension) views, MRI LS spine and a few blood tests like CBC - complete blood count, ESR - erythrocyte sedimentation rate, CRP - C-reactive protein and serum vitamin D and B12 levels. When I have all the above information, I can advise you the best way to proceed. Revert back with the reports to an orthopaedician and traumatologist online -->