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Old 03-11-2004, 01:39 PM   #1
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Mistina HB User
anyone had a muscle spasm in their sacrum and did it affect the sciatic nerve

I had a laminectomy in Sept and still have terrible pain and problems with my Sacrum and Si joint area. My doctor seems to think it is muscle related/myofascial and told me to get it stretched out and keep up with the excersise but overdoing it makes it hurt worse. I just can't distinguish it from a muscle problem or it being my nerve acting up. I will be feeling okay one week then BAM I'll get the pulling pain in my sacrum area and then it will set the nerve off ect. I can't figure it out and would really love to know how to figure out how to tell if it IS the muscle or more like the disc/nerve problem. It is like a pulling stiff pain and it feels deep into my sacrum when it really acts up it gets the nerve going bothers my leg. Otherwise my leg doesn't bother me too much. It's really baffling me!
Any suggestions at all?????!!!!!!!!

Christina

 
Old 03-11-2004, 03:20 PM   #2
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Re: anyone had a muscle spasm in their sacrum and did it affect the sciatic nerve

[QUOTE=Mistina]I had a laminectomy in Sept and still have terrible pain and problems with my Sacrum and Si joint area. My doctor seems to think it is muscle related/myofascial and told me to get it stretched out and keep up with the excersise but overdoing it makes it hurt worse. I just can't distinguish it from a muscle problem or it being my nerve acting up. I will be feeling okay one week then BAM I'll get the pulling pain in my sacrum area and then it will set the nerve off ect. I can't figure it out and would really love to know how to figure out how to tell if it IS the muscle or more like the disc/nerve problem. It is like a pulling stiff pain and it feels deep into my sacrum when it really acts up it gets the nerve going bothers my leg. Otherwise my leg doesn't bother me too much. It's really baffling me!
Any suggestions at all?????!!!!!!!!

Christina [/QUOTE]


Hi Christina. I had a laminectomy in Sept also and still have some muscle spasms and sciatic pain, but nothing like before. Does your doc have you on muscle relaxants? I am on them. And need some mild painkillers for the pain. At the risk of sounding like your mom, you need to quit "overdoing it". i do aquatic therapy and it helps a great deal. i learned the routine and do it on my own. A few weeks ago I thought I'd step it up a notch and paid for it for the rest of the week! You do need to keep the hammies stretched every single day and you need to be doing regular core stabilization exercises to strengthen your back and abs. BUT DON'T OVERDO IT! And get some meds from your doc for when you are not doing well.

 
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Old 03-12-2004, 05:38 AM   #3
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Re: anyone had a muscle spasm in their sacrum and did it affect the sciatic nerve

I do have Skelaxin for muscle pain but how do you know what a muscle spasm is??
I have always wondered if that is what it really is or if it is something else. It feels like muscle pain but I have so many things going on I'll never know.
Is your in you Sacrum around the dimples in your SI area. Is it like pulling tugging pain and tightness and when I move around it tugs harder, I don't know it's weird. Is this what you suspect could be muscle spasms??

Christina

 
Old 03-14-2004, 12:03 PM   #4
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Question Re: anyone had a muscle spasm in their sacrum and did it affect the sciatic nerve

I have major swelling in my sacroilliac region in my back which just gets worse with any activity. I fell about a month ago and have since been diagnosed with DDD.

Xrays found Significant hypertrophic bone formations at anterior inferior L2 and anterior superior L3 with narrowing of the L2-L3 disk space. Early mild degenerative changes at L4 and L5. Straightening of the lumbar lordosis, suggestive of underlying muscle splinting.

Xrays concluded significant degenerative changes at anterior inferior L2 and anterior superior L3 with decreased disk space at L2-L3. Straightening of
the lumbar lordosis, suggestive of underlying muscle splinting.

MRI found disc space narrowing at L2-L3 with moderate anterior and plate
spurring and slight posterior end plat spurring. A Schmorl's node or limited
compression deformity at the anterior aspect of the upper end plate of L3,
and a small Schmorl's node in the lower L2 end plate. Slight bulging of the
disc annulus at L2-L3, without asymmetric herniation or stenosis. At L4-L5, there is a very slight right lateral {foraminal} disc protrusion, not significantly narrowing the neural foramen or impacting the exiting right L4 root. No central canal stenosis is present. Minimal facet arthrosis is noted in the mid to lower lumbar spine. No disc protrusion or stenotic change at the L1-L2, L3-L4, or L5-S1 levels. Vertebral body heights and osseous signal intensity are essentially normal, and no sublaxation is noted. The conus is normal in appearance with its tip at the L1-L2 level.

MRI concluded significant anterior end plate spurring at L2-L3, with prominent Schmor's nodes in the adjacent end plates. Slight disc bulge and posterior end plate spurring at this level, not impacting neural structures. Very slight right lateral {foraminal} disc protrusion at L4-L5, not impacting neural structures. Mild degenerative changes in the mid to lower lumbar facet joints. No other significant abnormalities noted. No central canal stenosis or neural foraminal narrowing is seen at any lumbar level.

Past history includes a fall 14 years ago with about 3 months of physical therapy. Previous condition was stable and only caused occassional problems

Pain in lower back is constant and exacerbated by all activities. Also have had lots of pain in legs some down to feet. Consistent pain in right leg last 3 days. Seeing physical therapist that is somewhat helpful. Mostly treating sprains and strains in neck and back. However, he is doing limited therapy on lower back due to its instability. Currently taking muscle relaxants, ibuprofen and hydrocodone which provide relief. However, have been on pills for 6 weeks and am concerned with continued pill consumption, yet at this time they are my only option. May request back brace and home TENS machine for daily treatment. Know I should probably see a specialist at this point but debating which one, i.e. rheumatologist, neurologist, back doctor, pain clinic, etc. The Ibuprofen doesn't seem to do much for my sacroilliac region swelling. I know lots of people have surgeries and lots end up with FBS, Failed Back Syndrome.

At this point seems to early in the game but the constant pain is intolerable.
Not sure if discs or nerves should be tested or what my next step will be.

T

 
Old 03-14-2004, 04:56 PM   #5
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Re: anyone had a muscle spasm in their sacrum and did it affect the sciatic nerve

Christina, I have pain in an area just below the waist line on the left side. It's an area about the size of 3 tennis balls and is very sore. Like you, I cannot determine its origins...whether it is muscle or nerve. Now and again I will have a sharp pain in that area when I move wrong; otherwise, it is just very sore feeling and is sore to the touch as well. I have not been able to get an answer from my neuro...duh! Why does that not surprise me?! I go to see my OSS on Thursday about this. I will let you know what he says if you think this is similar at all.
Carol

 
Old 04-22-2005, 01:49 PM   #6
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Re: anyone had a muscle spasm in their sacrum and did it affect the sciatic nerve

Received a call from my primary Doc that my lumbar MRI was normal two days ago. Just received the report in the mail and it says I have a chronic Schmorl's node deformity at the superior endplate of L2....What the heck does this mean....

Diagnosed one month ago with cervical spondylosis and DDD, just looking for some coherent answers! Thanks

 
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