Sciatica

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Discussion

gaz1234

Original Poster:

5,233 posts

220 months

Tuesday 4th November 2014
quotequote all
frown
So since July after slipping a disc (we think) I now have sciatic pain in lower s1, top of bum, hamstring area and behind knee.
Should get a scan in next month to see extent of damage. Physio saying same old stuff.
Just seem like not much can be done.
Anyone else been in this position and how was it fixed?

Hol

8,419 posts

201 months

Tuesday 4th November 2014
quotequote all
I have Spondilythesosis (spelling) that the trauma specialist thinks is due to sports impact damage I suffered in my youth.

It needed a cat scan to confirm it, but with regular Physio visits and core exercises to keep it contained, I get by enough to run a few times a week.

Nezquick

1,461 posts

127 months

Wednesday 5th November 2014
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I've never slipped a disc but I feel your pain with the sciatica bit. I get episodes of it every now and then and it's a horrible pain. I can't describe it but it's one of those pains that makes me laugh whilst being in agony at the same time. The smallest wrong movement causes a massive stabbing pain and takes your breath away. Last time I couldn't get out of bed for pretty much a week.

Every time i've been to the doctors though, they say "it's just muscular" and "try to exercise and use your back as you would normally". At the time you think that's crazy but generally speaking, mine has just sorted itself out over time.

Plenty of ibuprofen, pain killers and gritting your teeth!

Sheets Tabuer

18,984 posts

216 months

Wednesday 5th November 2014
quotequote all
gaz1234 said:
Anyone else been in this position
Yep, did mine in january.

gaz1234 said:
and how was it fixed?
It isn't.

Lots of Tramadol help.


tobinen

9,237 posts

146 months

Wednesday 5th November 2014
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Mine was fixed by a microdiscectomy (same disc prolapsed 4 times in two years).

gaz1234

Original Poster:

5,233 posts

220 months

Wednesday 5th November 2014
quotequote all
How old are you all?

Edited by gaz1234 on Wednesday 5th November 14:53

tobinen

9,237 posts

146 months

Wednesday 5th November 2014
quotequote all
I was 37 when I had the operation. That was 7 years ago. All has been mostly well but I have the early signs of the disc above the one operated on going a similar way (MRI scan last year). Core exercises definitely help with posture and therefore (for me) alleviate the pressure. I suffered from a 'dropped foot' after the operation (improved after 18 months) so I am keen to avoid going under the knife again if possible.

I'd do the same again in hindsight as the pain was worse than anything I've ever experienced and subsequent paralysis.

evo4a

737 posts

182 months

Wednesday 5th November 2014
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I've slipped a disc twice suffered from sciatica for a year after the last time. Took it very steady but after a year I started an exercise program with lots of gentle stretching and body weight exercises.

My back is really good now, I'm convinced it's due to exercise and reasonably good diet (weight lose), I do quite intense workouts now but all exercises are gentle on my back, so no squats etc. a lot of focus on core muscles.

gaz1234

Original Poster:

5,233 posts

220 months

Wednesday 5th November 2014
quotequote all
I think squats fked it for me, added to golf

Nezquick

1,461 posts

127 months

Thursday 6th November 2014
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gaz1234 said:
How old are you all?

Edited by gaz1234 on Wednesday 5th November 14:53
I'm 35 now but had back problems from when I first moved house and lifted something a bit wrong. All in all, i've had issues with my back on and off for about 12 years.

gaz1234

Original Poster:

5,233 posts

220 months

Sunday 22nd February 2015
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Update, had my mri showed s1 bulge. I was improving and pain resided, so stopped taking my naproxen to see if the pain would stay away. I was even going back to the gym.
Now had to start taking the drugs again as the pain slowly coming back in leg and bum again. Specialist said I can have the epidural steroid injection, but not sure what to do...

davhill

5,263 posts

185 months

Monday 23rd February 2015
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I had three of these, though they weren't called epidurals. The were called Dorsal Root Ganglion injections and went like this. It's a day case job in theatre. They put in a bit of local anaesthetic at the injection site first. Then, a long needle goes in and the consultant watches it's progress on X-rays. When it's in the right place, a mixture of local (lidocaine) and steroid goes in. I've had worse procedures when awake.

Bathing the root of the sciatic nerve worked twice for me, reducing the pain by 60% percent for about four months each time. Procedure No.4 was done at three levels - 3 needles onscreen at once - and it did nothing.

I had an L5/S1 slip. I reckon the injections are worth a try if you can keep smiling at the time!

gaz1234

Original Poster:

5,233 posts

220 months

Monday 23rd February 2015
quotequote all
Cheers. I hear they are painful.
Did you have surgery and I so is it worth it?

gaz1234

Original Poster:

5,233 posts

220 months

Monday 23rd February 2015
quotequote all

Here is my damage

OllyMo

596 posts

213 months

Monday 23rd February 2015
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That looks quite bad to me...

I've slipped two L4/L5 but after 3 years it's 90%-95% better. Only from stretching and strengthening. Doc tried injections, but they did nothing for me, and it wasn't worth doing surgery.

I'll echo the above statements - although they sound stupid at the time, do the exercises your physio prescribes religiously. I didn't to begin with, and the pain stayed. As soon as I started doing the exercise properly, reading up on more exercises and doing it all everyday, I saw massive improvements. It's not just back exercises you're looking for either. You probably need to look at hamstring tightness, general posture, hip positioning and all sorts.

gaz1234

Original Poster:

5,233 posts

220 months

Monday 23rd February 2015
quotequote all
OllyMo said:
That looks quite bad to me...

I've slipped two L4/L5 but after 3 years it's 90%-95% better. Only from stretching and strengthening. Doc tried injections, but they did nothing for me, and it wasn't worth doing surgery.

I'll echo the above statements - although they sound stupid at the time, do the exercises your physio prescribes religiously. I didn't to begin with, and the pain stayed. As soon as I started doing the exercise properly, reading up on more exercises and doing it all everyday, I saw massive improvements. It's not just back exercises you're looking for either. You probably need to look at hamstring tightness, general posture, hip positioning and all sorts.
can you elaborate on why it wasnt worth surgery?

davhill

5,263 posts

185 months

Monday 23rd February 2015
quotequote all
gaz1234 said:
Cheers. I hear they are painful.
Did you have surgery and I so is it worth it?
Hi,

I had a microdiscectomy that worked well initially. But my tendency to form scar tissue internally brought the pain back. Another microdiscectomy and laminotomy (shifting bone to make more room for the nerve) did the same, 3 months' improvement then pain back again.

They then declared failed back surgery syndrome (FBSS) and put in an electronic neurostimulator (internal T.E.N.S. machine), and Op No.4 was to get the electric stimulation in the right place.

I can't say the surgery was worth it in my case but FBSS is fairly rare. The machine means I'm not living on heavy duty painkillers any more but my mobility is poor.

Remember, this is just me - I was in my early to mid-50s at surgery time. My slip was also bigger than yours. It was about the size of a garden pea and had a narrow 'neck' where the disc material was pinched between the vertebrae. I'd discuss outcomes with your consultant.

All the best with it.

gaz1234

Original Poster:

5,233 posts

220 months

Monday 23rd February 2015
quotequote all
Thanks. What drugs were you on. I'm on naproxen, which is working but don't want to be on it all the time.

davhill

5,263 posts

185 months

Tuesday 24th February 2015
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gaz1234 said:
Thanks. What drugs were you on. I'm on naproxen, which is working but don't want to be on it all the time.
Yes, Naproxen (lovely stuff). I also tried Lyrica and Diclofenac - all had side effects and I'm glad to be off them. I use Paracetamol when necessary now.

Zingari

904 posts

174 months

Tuesday 3rd March 2015
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What are the early symptons for sciatica? I'm a regular runner, 4 miles 5 days a week with weekend rest and been lucky that until recently I've on had a couple of calf and hamstring strains in 20yrs.

I've now started doing some long distance driving a couple of days a week and noticed irritation down the back of my right leg and into the back of my knee. On occasion I've had pain in my ankle. As a result it has affected my running causing my hamstrings, IT bands and calves to tighten up and now stretching off is causing discomfort in my lower back/pelvis.

I also get discomfort in my hamstrings sat in an office chair for long periods even with some back support.

I've had to revise my cardio work by using a cross trainer which is fine but I want to get back into running regularly, however one run can bring it all back on a few hours later. What's odd is I can do 70-90 sit-ups without discomfort.

Physio helps to release the tightness but I dont think it is getting to the root cause of the problem. I'm not taking any medication (except capsaicin cream that can wake me up in the night as presumably my back ache reacts to it) as this I feel may mask the underlying problem.

Any advice?

Edited by Zingari on Tuesday 3rd March 23:49