What to do?

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Teixe

Original Poster:

295 posts

164 months

Sunday 21st November 2010
quotequote all
Looking for some advice.

Long history so I'll just mention the last bit. I've been having pain on my left leg, starts at the hip and finishes below the knee sometimes, I will give it 9 out of 10 value, it happens every time that I stand up.

I'm already seeing a physiotherapist, this Friday I have taken two MRIs (pelvis and lower back, the report will take 10 days, I already have a CD with the images) and I have been prescribed since wednesday Solpadol, I am taking 2 every 6 hours, this is not doing anything.

I'm not missing work yet, I am a contractor so I'll be losing money. My OH thinks that this classifies as an emergency as every time that I stand up the pain is excruciating and takes me around a minute for the pain to go away. What would you do?

Teixe

Original Poster:

295 posts

164 months

Monday 22nd November 2010
quotequote all
just woke up again with huge pain. any reco
mmendations?

Teixe

Original Poster:

295 posts

164 months

Monday 22nd November 2010
quotequote all
Thanks guys,
davhill, I hope your problem is fixed with the next surgery.

My phisiotherapist did recommend me some exercises but then said to do them if I don't feel pain but I do, so I have not done them. I should mention, that before the problem increased I was given other exercises to do, I did all of them with no good results, they probably were the wrong ones for the problem.

Below is the whole story:

It started this February after carrying an exercise bycicle for around 100meters. I reckon it weighted around 5-6 stones. Next day I started to feel pain on my left leg, from my hip to my knee, the pain was on the left side of the left leg.

I took several Ibuprofens and it started to dissapear after 10 days. Saw a GP, it sent me to the hospital, which did an x-ray on my left knee as I already had an old problem in it and did not found anything.

I found out that if I walked for more than half an hour the pain reappeared.

Fast forward to August.

Feeling good again I did a fast walk of about an hour, next day the same pain reappeared but more intense. Took Ibuprofen and it improved. I then started to go to phisiotherapy 5-6 sessions, 1 per week, the exercises only helped a little bit, for instance I was feeling pain when trying to touch my toes from a standing position, this was greatly improved.

Then one Sunday I had to dry a spillage on the bathroom and I did it while on child pose position (I found this name on google), it took half an hour.
Next day the big pain started up until now. I have seen my GP and phisiotherapist, the latter told me to get MRIs, the first gave me some painkillers and told me to wait for the MRIs and to come back in order to send to a specialist.

I've also found that when I stand up or roll on bed is when the pain intensifies, I also found that if I stand up slowly with my back curved the pain is not so great but as soon as I put my back straight it increases.

I will go again to the GP to see if they can prescribe a stronger painkiller.

Teixe

Original Poster:

295 posts

164 months

Wednesday 24th November 2010
quotequote all
Update, the MRI shows "At L4/L5 there is a left foraminal disc protrusion causing mild narrowing of the exit foramen. It is displacing the left L5 nerve root in the lateral recess".

I have been prescribed Diclofenac, only one so far so can't really comment, I'll see the GP on friday and pretty sure he will remit me to a specialist after reading the report. I've asked my phisotherapist and he said that he prefers to hear from a specialist first



Teixe

Original Poster:

295 posts

164 months

Thursday 25th November 2010
quotequote all
Bill said:
What exercises has the physio had you doing? TBH though if it hasn't worked over 6 weeks the chances are the specialist will be thinking of surgery.
Single knee hub and this one.



Also after the pain increased I saw my phisiotherapist again and I was told to try to strech my back by doing the cat-cow pose but only if I did not feel any pain, which I did and still do. I hope it does not need surgery, I've already had a couple (not in the back) and is not a good process to go through... frown

Teixe

Original Poster:

295 posts

164 months

Friday 10th December 2010
quotequote all
Just an update,
Have not gone back to the Physio as I was having too much pain to be doing any exercises.
Been given Diclofenac wich has improve me a lot, painkillers were not doing anything so I am not taking them anymore.
Three days ago I bought a back support strap and it's helping a little bit.
Meanwhile I now have an appointment, 30 days from now mad
One GP told me to not do anything that could cause me pain. The other told me to try to do exercises to strengthen my back before seeing the specialist and to stay mobile, when asked if the disc could go back to normal, he replied with a sincere NO.
It could be worst.

Someone has suggested Shiatsu, but I think I'll wait to see the specialist.

Teixe

Original Poster:

295 posts

164 months

Thursday 3rd February 2011
quotequote all
Update:
Got a Nerve root block appointment for next monday. Been reading about it and I don't have too much hope, also taking pregabalin at the moment.

Teixe

Original Poster:

295 posts

164 months

Tuesday 27th September 2011
quotequote all
Teixe said:
Update:
Got a Nerve root block appointment for next monday. Been reading about it and I don't have too much hope, also taking pregabalin at the moment.
After waiting a fair few moments this Thursday I'll have a microdiscectomy, a little bit worried since I have developed pain on the lower right side of my stomach. Don't know what it might be as it comes and go, have though is my apendice but from what I've read if it was broken I would be in a lot of pain. So not sure.

Also have called the hospital to check if the op might be postponed as I have a cold and very sore throat but being told to arrive and they'll assess.

So under the knife in two days, having read other posts regarding the post-op it looks like recuperation differs a lot in each individual.




MrGRT

Original Poster:

295 posts

164 months

Tuesday 1st November 2011
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Finally got the op done last Thursday.
Though I was told that I should feel relieved from the sciatica pain so far it has not happened, the pain level is the same prior to the op.
I am doing my exercises and trying to walk as much as painfully possible.
Does anyone know if this is usual? I went through the NHS so the next appointment will be in about 5 weeks.

Cheers.

MrGRT

Original Poster:

295 posts

164 months

Sunday 15th January 2012
quotequote all
Just came back from A&E. my pain came back after walking and doing the rehab exercises 5 days ago. I may have understood incorrectly but my Dr on tuesday said that i should be able to twist my back so i introduced 5 twist to my routine.

As soon as i arrived to my house after the exercises the sciatica appeared way more intense than before to the point that i can't walk straight.

I fear i may have undo my surgery,i am tired of this, i am depressed and tired of the nhs.

I am sure my surgery was a bad job. How can a 15 minute walk followed by extension and twist exercises put me in this situation? ,my op was 2.5 months ago.
18 months with this problem.

I am going privately and broke.

ETA: If someone can recommend a Dr in the Reading/Berkshire area please let me know.

Edited by MrGRT on Sunday 15th January 17:04

MrGRT

Original Poster:

295 posts

164 months

Tuesday 17th January 2012
quotequote all
Had an appointment, I am going to be referred urgently for another nerve root block procedure, without any scan.
Why is it so difficult to get an MRI or similar that will show the issue?
Why sent me for another procedure without having the complete picture of the problem?
To me they are simply guessing.

MrGRT

Original Poster:

295 posts

164 months

Wednesday 18th January 2012
quotequote all
Dave, thanks for your help along the past months. I understand that these things take time but I am worried because I was doing fine until 7 days ago, now I can't walk upright and the pain is severe even worst than before the surgery.

I tried to ask what could be the reason for this sudden change and was told that it could be an infection or scar related, another prolapse or disc issue was not considered an option.

MrGRT

Original Poster:

295 posts

164 months

Saturday 28th January 2012
quotequote all
Doing better after the nerve root block (5days), still standing upright brings pain and can only walk a little bit. I have another appointment in about 3 weeks but I'll get an MRI before it. I am trying to cut on the pills now.

MrGRT

Original Poster:

295 posts

164 months

Sunday 29th January 2012
quotequote all
pacman1 said:
Have you thought of some gentle swimming?
I might try it after I get an MRI done, but chances are slim as I can hardly walk

MrGRT

Original Poster:

295 posts

164 months

Wednesday 8th February 2012
quotequote all
Got the MRI done, still waiting for the report, a few images below:


MrGRT

Original Poster:

295 posts

164 months

Thursday 9th February 2012
quotequote all
R300will said:
Is the thinking that the problem might be with the second disc from the bottom? L4 i believe?
Yes, L4/L5.

I compared them to the ones before the surgery, it's difficult to say for sure but these ones appear to push the nerves more.

MrGRT

Original Poster:

295 posts

164 months

Monday 13th February 2012
quotequote all
Just got the MRI Report:

"Axial images e.g. image 6 show that there is a defect in the left lower lamina of LS, which contains
enhancing post surgical tissue. This defect lies about 8mm above the LS/S1 disc. Some fibrotic
tissue which enhances after Gadolinium is in contact with the left 51 root at this level, but there is no
neural compression visible.

At L4/LS there remains a modest left foraminal protrusion which mildly deviates the left descending
LS root but does not make contact with the left L4 root in the foramen, this has not altered in
appearance since the pre-op scan.

It looks from the position of the axis point that the LS/Sl level has been explored."

MrGRT

Original Poster:

295 posts

164 months

Tuesday 13th March 2012
quotequote all
Second op done a few days ago, I feel better now than after the 1st surgery.

Basically the first Dr did not remove what was pushing the nerves, he was on one of those residency periods, I was not aware of that,I'd not have accepted if I'd know. Apparently he is back in his home country.

Suffice to say that I am not happy with this at all.

MrGRT

Original Poster:

295 posts

164 months

Wednesday 14th March 2012
quotequote all
Very sorry to hear that.
Re the 1st surgery, in my case it was a microdiscectomy,essentially is shaving the disc material that is pushing the nerve. I was given 3 weeks off (now 4), home exercises and phisio (5 sessions). I kept complaining of pain but no one believed me until after the sciatica reappeared and i ended up in A&E.
Couple of days later i had my second nerve root block which helped.
After the third week i was walking 30min every day.
I work in IT,sitting for long periods is not recommended but i was fine for 1-2 hours.
My employer has been fine so far considering that in less than a year I'd be off for 7 weeks.
In both cases i only spent one night in the hospital. Having someone to help you afterwards is essential IMO.
Painkillers do a good job after surgery.

MrGRT

Original Poster:

295 posts

164 months

Friday 23rd March 2012
quotequote all
Time for an update:
Lower back muscles are really stiff now, to the point that my column is tilting to one side and I started taking painkillers again.

Got my first physio yesterday, a massage on my back and told to stop the old exercises, they gave me 5 new ones and recommended the use of a heatpad.

I spent most of my time in bed, I am trying to balance it now with seating and light moving.

This Back problem club as Dave mentioned in another thread doesn't like its members to leave smile

Patience, 2 years and counting..