How can numbness and pain due to iliopsoas be treated ?

Question

Hello doctor,

I had previously fallen from my bathroom and had visited a doctor and had X-rays done. The doctor advised me to get it plastered. But, because I refused plastering, the doctor prescribed calcium D tablets and painkillers and advised me to rest for three weeks. After three weeks, the X-rays revealed that they were normal, despite the fact that I was experiencing leg discomfort. The doctor advised me to walk on straight roads rather than damaged ones. I went back to the doctor since the discomfort was still bothering me. This time, following the consultation, he decided that there is some nerve damage and muscle atrophy seen. I also felt a popping sound in both of my knee joints, as well as back discomfort. The doctor also suggested that I wear shoes with a soft arch. However, the popping sound was still there and aggravating. I also saw an orthopedician, who recommended certain exercises and hot water therapy. After one month of doing this activity, I began to feel numbness and a burning sensation in my hands, for which he recommended that I take calcium supplements and continue exercising. But my discomfort just became worse during this time, so I went back to my doctor. He advised I do the D hydroxy 25 test, which showed a value of 17 as a result. He also prescribed Calciferol 4000 UI for two months. He also advised me to continue wearing shoes that supported my foot and suggested a few workouts. But as time passed, I noticed my left side becoming numb and my entire back becoming heavier. The doctor also recommended a few tests for me.

Creatinine levels in blood and urine tests.

RA factor and anti-CCP antibodies

MRI of the LS spine, as well as screening of the whole spine and sacroiliac joint

Following all of these tests. He continued to put me on Calciferol 4000 UI.

But my situation has remained the same, if not worsened.

Please assist.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. It is very difficult to diagnose this condition without examination, However, according to the situation and also considering your X-rays and MRI being normal, popping sounds in the hip can be due to snapping tendons of the iliopsoas - which many doctors tend to miss. The pain from the hip to the knee can also be related to the adductor nerve due to muscle spasms in the adductor region. I suggest you practice the following steps:

Take tablet Thiocolchicoside (Muscoril) 8 mg once at night for 10 days after food.

Continue with your Vitamin D.

Tablet Diclofenac (Aceclofenac) 50 mg once a day if the pain is more it can be taken a maximum twice a day after food.

Also, take these tablets only if you are not allergic to them and do not have any history of bronchial asthma. Also, practice stretching exercises at home with the help of videos, Ilio-psoas stretching exercises, adductor muscle stretching exercises. If you see that your knee discomfort improves after performing these exercises, you have the proper diagnosis. But if not then I recommend you for a follow-up for reassessing the case symptoms. Wear an Aircast ankle stirrup and always wear sports shoes for your ankle. Follow up in two days. Revert with the answer to assist further.

Thank you.