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Pain management for lumbar pain induced numbness?

I have numbness on my right buttock and back of my right thigh for four weeks now. I also have lower back discomfort. I wouldn't even call it pain. I've had x-rays and an MRI. I just yesterday started having nerve twitches in my genital area. I'm positive it is related. My doc has set me up with a pain mgt doc next week. But how can pain mgt help the numbness to go away? It does not make sense to me.
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20803600 tn?1546262537
COMMUNITY LEADER
Gabapentin works for some people and not for others. Compression of a nerve or nerve root typically isn’t helped that much by medications unless the compression is relieved first. Medications can help ease pain but not numbness once the compression is relieved.
Helpful - 0
Avatar universal
I have been on Gabapentin for sciatic/nerve issues and it's changed my quality of life.  Had a spinal fusion @ Mayo Clinic back in 1982 and as of the past 5-6 years have had an issue with numbness, nerve pain down my right leg and into my foot (L4-L5) impingement.  It no longer flairs up, since the Gabapentin Rx.  I'm on 300mg/3 x/day and it's been a game changer.  Best of luck to you.  Mayo Clinic figured it out, was @ Cleveland Clinic and UPMC prior, but Mayo Clinic was worth the trip for sure.    
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Avatar universal
I have been on Gabapentin for sciatic/nerve issues and it's changed my quality of life.  Had a spinal fusion @ Mayo Clinic back in 1982 and as of the past 5-6 years have had an issue with numbness, nerve pain down my right leg and into my foot (L4-L5) impingement.  It no longer flairs up, since the Gabapentin Rx.  I'm on 300mg/3 x/day and it's been a game changer.  Best of luck to you.  Mayo Clinic figured it out, was @ Cleveland Clinic and UPMC prior, but Mayo Clinic was worth the trip for sure.    
Helpful - 0
20803600 tn?1546262537
COMMUNITY LEADER
Numbness usually indicates a compression of a nerve.
Are you seeing your primary care physician or a board certified spine surgeon?
While the primary can order tests etc, given the numbness - your best option for proper diagnosis and treatment is to consult a spine surgeon.
They are uniquely qualified to look at the actual MRI images and see any nerve root impingement or compression, rather than just rely on the MRI report. Given it’s been ongoing and now you are experiencing different new symptoms, that would be my suggestion
Helpful - 0
973741 tn?1342342773
That numbness sounds like sciatica.  Which I've had!  My doctor told me about stretches I needed to do which eventually released the involved nerve.  Here's a link to some stretches to try.  https://www.healthline.com/health/back-pain/sciatic-stretches  I agree that pain management seems premature here.  
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