Dr. Eipe Kuruvila, MD

You need to be seen by a doctor specializing in Spine: Spine Orthopedics, Physiatrist, Spine Pain Medicine. You need an examination and MRI of the lumbar spine to identify the cause of the pain. Excruciating pain in the leg is most likely a referred pain from pressure on the nerve roots in the lumbar spine. Most common causes in a 63-year-old would be Spinal stenosis, Degenerative Disc Disease, and Herniated Disc. Early diagnosis is important.

Herniated disc in the low back or in the neck may cause pressure on the spinal nerve. Pressure on the nerve would give you some syptoms, pain in the distribution of the nerve. Pain radiating to the hip or leg is typically called "Sciatica." From the neck pain can be referred to the shoulder and down the arm. One may also get numbness, tingling, and weakness. These can be serious and so you need to be seen by a specialist. Treatment may be physical therapy, Epidural steroid injections, or surgery depending on the symptoms and findings. Weight management and regular exercises are important.

You need to be seen and examined by a physician who has experience in dealing with knees like an orthopedic surgeon or a sports medicine specialist. We need to determine if you have any internal derangement in the knee joint. Knowing your medical history is very important.

Dr. E. Kuruvila, MD, FRCA

One needs good physical therapy after joint replacement even if you are seeing a Physiatrist.

I would need more information about your back pain. Pain is a warning signal that some thing is irritated. Pain medication is just a band aid and strong pain medications (opioids) will get your body addicted to them in a matter of few weeks. We have a national crises with opioid addiction and someone is dying every 18 minutes from an accidental overdose of pain medications.
It could be a muscle strain and typically that gets better in a week or two. You may have a disc problem, bulging disc or herniated disc. Again we need to start with a proper consultation and examination before I make recommendations.
Eipe Kuruvila, MD, FRCA

First of all, how old are you? How long have you had these aches and pains? What brings it on and what makes it better?
A doctor needs to see you and have a consultation and examination before making recommendations online.
Dr. Eipe Kuruvila, MD, FRCA