Originally Posted by teteri66
I usually post on the Back board but wanted to add a couple comments. Your comments, Las Vegas girl, indicate to me that your back issues could be causing the type of pain you are describing.
Without knowing more about your lumbar MRI, I can't give you too much information...but, just in general, facet joint disease can be painful. If you look online for a "dermatome map" you will be able to see what areas of the body are innervated by the L4, L5 and S1 spinal nerves. Facet disease can cause the joints to enlarge, the growth of osteophytes and other changes that result in some nerve compression. When these nerves are pinched, it results in pain that can radiate down the leg into the foot.
The EMG/nerve conduction study are subjective tests that are only as good as the person giving the test and the person interpreting the results. It is not unheard of to get different results if you have tests from different doctors.
Losing feeling in toes, etc. can be a first sign of spine problems. I was diagnosed with PN around 2000 but didn't develop any other signs of spine problems until 2005. It wasn't until 2008 that the doctors decided I never had PN...that the numb toes were a result of the nerve compression I had due to spondylolisthesis.
If you go to a podiatrist, they will probably find something wrong with your feet...in part because they won't be looking any higher up in your body. If your symptoms continue or worsen, you might want to go to a spine specialist for an evaluation. This would be either a fellowship-trained orthopedic spine surgeon or a neurosurgeon. All issues would be treated conservatively, with surgery only considered as a last resort. (Some people avoid a spine surgeon, thinking if they go they will end up with surgery. This is not the case!)
Hi Teteri66, thanks so much for the dermatome map information. It is an interesting tool to read about and does show the area's I am having pain at.
I honestly think a good part of my issues are caused from my MS. Because MS attacks the myelin sheath. But then it could be lumbar issues too. But my MRI says mild facet disease, more so on left side (which is where the most pain is). My pain is not mild one bit.
I don't have numbness, tingling or loss of feeling. I don't have sensitivity on feet that is written here so much. The classic signs that are posted here and that I have read about, do not pertain to my issues. That is why I am so confused.
I also have carpal tunnel in both hands and really think this is all caused by inflammation due to my MS. But have not found a doctor that will even discuss anything about MS or PN.
I appreciate your advice and Aussie's and will try to find a Neuro who specializes in PN. I do have an appointment at the end of March with a MS Specialist.
Thanks again, for your posts. It was very informative.