Lower Back Pain and Foot Discomfort After Walking - #45285
I have pain in my lower back and a stretchy feeling under the middle of both feet and the back of the neck. Something after walking for few miles i get cramps like pain on side of feet. My blood test details are here: ESR: 50 CRP: 2.3 Serum Globulin: 3.67 Vitamin D: 20 Vitamin B12 : 237 HEMOGLOBIN: 13.6 Neutrophils: 7.86 Lymphocytes: 3.3 Wbc :11.71 PDW: 9.1 PLCR:15.6 LDl cholesterol: 102.6 Sodium: 135.6 Urea: 15.86 Calcium: 8.78 BUN: 7.41
How long have you been experiencing this pain and discomfort?:
- More than 6 monthsWhat activities or positions seem to exacerbate your symptoms?:
- WalkingHow would you describe the severity of your pain?:
- SevereDoctor-recommended remedies for this condition

Doctors' responses
The symptoms you’re experiencing, such as lower back pain, a stretching sensation in your feet, and neck discomfort, might be linked to your Vitamin D insufficiency and potentially some muscular tension or inflammation. Let’s address these concerns by looking through Ayurvedic lens.
Your Vitamin D level at 20 suggests deficiency, which can lead to musculoskeletal pain. Incorporating more sunlight exposure into your daily routine is crucial. Try to spend at least 20-30 minutes in early morning sunlight. You might also conisder eating foods that are rich in Vitamin D, such as fortified milk, or fish like salmon and mackerel.
From an Ayurvedic perspective, your symptoms may be pointing towards a Vata imbalance. This could lead to stiffness and cramping, especially after exertion. A regular self-massage with warm sesame oil or mahanarayan oil can help alleviate muscle discomfort and balance your doshas. The application of gentle heat to your lower back and feet using a hot water bag after walking may offer some relief, enhancing circulation and relaxing the muscles.
Dietary adjustments could also be beneficial. Increase your intake of warm, nurturing foods—think soups and stews with spices like ginger, turmeric and black pepper. These are excellent for reducing inflammation and improving digestion, thereby supporting your overall energy levels and muscle function.
Avoid exposure to cold environments or consuming cold foods and drinks as it can aggravate Vata. Gentle yoga or stretching exercises focused on the lower back and feet may enhance flexibility and strength, aiding in long-term health.
Monitor your hydration as it’s essential for muscle health and overall balance. Ensure you’re drinking adequate water, but avoid cold beverages. If these measures don’t improve your condition, it would be prudent to consult with a healthcare provider regarding further investigations or treatments. Remember, addressing the root cause is essential for long-term health.
Based on the symptoms you’re experiencing—lower back pain, stretchy feeling under the feet, neck discomfort, and cramping—the imbalance may relate to Vata dosha aggravation, which can affect mobility and digestion. Your blood tests indicate some concerns such as low Vitamin D and borderline low Vitamin B12 levels, which play a role in nerve health and muscle function.
To address this Vata imbalance, consider integrating warm, grounding foods that pacify Vata, such as whole grains, lentils, and cooked vegetables. Avoid raw foods and cold beverages as they can aggravate Vata. An easy-to-digest diet will keep your Agni stable. Incorporating ginger tea daily can support digestion and warmth.
Abhyanga, or self-massage with warm sesame oil, can help alleviate stiffness and pain. Focus on massaging your feet, lower back, and neck, especially after walking to ease muscle tension. Remember to use gentle strokes toward the heart.
For the nutritional deficiencies noted, consulting with a healthcare provider about supplementing Vitamin D and B12 can help. They’re crucial for musculoskeletal and nerve function, supporting improvements in pain and energy levels. Increasing exposure to sunlight and consuming foods rich in these vitamins like mushrooms, dairy, and leafy greens can be beneficial.
Implement grounding yoga stretches that enhance strength and flexibility, such as Tadasana and Sukhasana. This will help keep the Vata dosha balanced and improve muscular ailments over time.
It’s wise to monitor these symptoms and regularly consult with your primary care doctor, especially if the pain increases or becomes debilitating. Timely medical input is crucial to rule out other potential causes like inflammation, given your elevated ESR.

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