Conversation: The conversation between human and AI assistant.
[|Human|] I have pain in lower left back that radiates to front groin then down my left leg via front (no pain in the behind and back leg). It s so severe and no position relieves it. Not a shooting pain but constant very severe burning pain. Can t walk on it and hurts just as bad or worse if I keep weight off it. Nothing helps. Does this sound like Sciatica? Pain in the back has gotten better but leg has only gotten worse. It s been 4 days now. Did nothing to bring this on. Was just standing.
[|AI|]  Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned by you the pain was on the left side of the lower back and left side leg (frontal and medical aspect) and not the back side. You doubt it is sciatica? Well sciatica is a symptom where the pain. Travels the course of the sciatic nerve. And sciatica is not an obvious condition but rather it is a symptom. Also, as your pain is having radiating in nature with burning sensation it could be lumbar radiculopathy. In this condition, there will be compression of the nerve in the lumbar spine due to lumbar disc degenerative pathology. Also, an MRI will be performed to confirm the diagnosis by correlating the MRI reports with the clinical symptoms. Usually the upper level of the lumbar spine like - L1, L2, L3 gives pain in the inner aspect of the thigh - this is just an example to understand that which nerve will be pinched to give symptoms. The treatment will be guided based on the diagnosis. With medication and physical therapy the symptoms subside and the overall health improves.in my clinical practice we call this kind of condition as lumbar radiculopathy and with the combination of medication and physical therapy cases respond well. You may be advised by a physical therapist to undergo - Therapeutic ultrasound therapy, TENS therapy and exercises on a later stage. All together this will help you spine become stronger and the active lifestyle is achieved. RegardsJay In Chat Doctor.