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Heavy back pain on standing, tremor in legs. Cause?

Resolved Question:

First off, I am overweight and have a weak back. I am very large breasted. About 3-4 years ago, I had been standing for like 30 minutes waiting on someone. My lower back got stiff and painful with movement. If memory serves me right, I pushed a buggy and that helped alleviate some of the pain. It was unbearable to where I had to sit down. That had helped some. My doctor says my back problem is from muscloskeletal problems. What does that mean? Somewhere in that time frame I would do some physical activity, such as bending over for a minute or whatever looking in my closet for something. After having done such an activity, when I sit down, my legs tend to shake or tremor. What are some things that could cause my legs to shake after bending over? I have a weak back. Could it be a central nervous system issue? My mom has been recently diagnosed with a degenerative disk. I do not drink enough water. I say something about the water because I know our muscles need water to work properly. I am also a smoker. I have read that smoking is not good for our muscles either. Any ideas on what my issues with my back could be?


Category: Orthopedic Surgeon

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Patient replied :

I also sometimes wake up in the morning with my mid to upper spine / back feeling numb. Why could that be?


Expert:  Dr. Mukesh Tiwari replied 3 Days.

Hello,
Thanks for your query at DoctorSpring.cm
I understand your concern
I have accumulated some points from your history which are helpful in diagnosing me your problem-
-You are heavy weight female.Weight is one of the major factors to create back problems because our back bones are made to lift a specific amount of weight only.If there limit crosses then vertebral bones comes under stress & this stress is reflected as pain.
-You are a smoke. Smoking is one of major factor which leads to weak bone or in medical terms osteoporosis.
-You are having heavy breast.This may lead to back problems due to change in the mechanical axis of the body.
Looking at your complaints it does not look that you are having any neurological problem.But you should do following-
-Stop smoking.
-Start taking calcium & vitamin D supplements.
-Start doing exercises, weight bearing exercises will be more helpful. Strengthening exercises will be more helpful.This can be learned from a physiotherapist.
-Get yourself checked for routine blood investigation including thyroid function tests & vitamin B12 levels.
-Do warm fomentation with help of warm packs over your back.This will relieve spasm & thus back pain.
-You should start reducing weight. This is the most important factor in relieving back pain.
-Mild analgesic can be taken for back pain like Tylenol or in severe pain I used to prescribe a combination of tramadol with paracetamol.
Hope this was helpful
Feel free to discuss further,
Regards


Patient replied :

But I wonder why I would wake up in the morning with my back feeling numb or tingly. What are your thoughts?


Expert:  Dr. Mukesh Tiwari replied 2 Days.

This may be due to spasm at your back or spasm of muscles surrounding the spine which does lead to constriction of blood vessels & such sensations.
Hope this will helps,
Regards.


Dr. Mukesh Tiwari
Category: Spine Surgeon
Experience: 
Fellowship - Khandaka Hospital, Jaipur
Residency - MS, Rabindranath Tagore Medical College, Udaipur, 2000
Medical School, Internship - MBBS, SMS Medical College, Jaipur, 1995
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